多功能阑尾悬吊器辅助两孔法腹腔镜阑尾切除术

目的:探讨多功能阑尾悬吊器辅助两孔法腹腔镜阑尾切除术的可行性、疗效及临床价值。方法:回顾分析2005年1月至2008年5月为49例患者行多功能阑尾悬吊器辅助两孔法腹腔镜阑尾切除术的临床资料。结果:49例手术均获成功,无中转开放手术,手术时间19～120min,平均27min,术后顺利康复,仅在脐缘及耻骨上方阴毛区留下2个小且隐蔽的切口瘢痕,随访24～60个月,平均33个月,无切口感染、肠粘连、大网膜粘连、切口疝等并发症发生,患者均对手术及美容效果感到满意,满意率达100%。结论:多功能阑尾悬吊器辅助两孔法腹腔镜阑尾切除术具有戳孔少、术后瘢痕小且隐蔽、戳孔感染率低、美容效果好等优点,是腹腔镜阑尾切除术的另一选择。

Multi-function appendix suspended device-assisted 2-port laparoscopic appendectomy

Objective:To investigate the feasibility,therapeutic effect and clinical value of multi-function appendix suspended device-assisted 2-port laparoscopic appendectomy.Methods:The retrospective analysis was made on clinical data of 49 patients who underwent multi-function appendix suspended device-assisted 2-port laparoscopic appendectomy from Jan.2005 to May 2008.Results:All operations were successfully performed,and no one was converted to open surgery.The operative time was 19-120min,with the average of 27min.The postoperative recovery was uneventful,only 2 small hidden incisions were left at umbilical edge and pubic hairs area above pubis.During the follow-up of 24-60 months (mean,33 months),no complications such as incision infection,intestinal adhesion,greater omentum adhesion,incisional hernia occurred.Patients were satisfied with the operation and cosmetic result,the satisfaction rate was 100%.Conclusions:The multi-function appendix suspended device-assisted 2-port laparoscopic appendectomy has advantages of less incisions,hidden postoperative scar,incision infection,and better cosmetic results.It is an alternative for laparoscopic appendectomy.