经脐单孔腹腔镜阑尾切除术51例报告

目的:探讨基层医院行经脐单孔腹腔镜阑尾切除术的可行性,并总结手术经验.方法:回顾分析51例经脐单孔腹腔镜阑尾切除术的手术经验及临床资料.结果:48例成功施行经脐单孔腹腔镜阑尾切除术,手术时间30～90 min,术后无出血、粪漏等并发症发生,恢复良好,治疗及美容效果满意.1例因阑尾根部坏疽穿孔中转开腹,2例因放置引流管增...

Transumbilical single-port laparoscopic appendectomy:with a report of 51 cases

Objective: To discuss the feasibility and experience of transumbilical single-port laparoscopic appendectomy in primary hospital. Methods:The operative experience and clinical data of 51 patients undergoing transumbilical single-port laparoscopic appendectomy were retrospectively analyzed. Results:48 patients accepted successful transumbilical single-port laparoscopic appendectomy and were satisfied with the therapeutic and cosmetic result.1 patient was converted to laparotomy because of appendix root gangrene and perforation,and additional incision was made in 2 cases for drainage.No complications occurred in the 48 patients who underwent transumbilical single-port laparoscopic appendectomy. Conclusions:Transumbilical single-port laparoscopic appendectomy is safe and feasible and with dramatically cosmetic result.This procedure is more difficult than traditional laparoscopic appendectomy.Correct operative principle must be followed and timely conversion to open surgery or normal laparoscopic surgery should be guaranteed.