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腹腔镜阑尾切除术的常见难点与手术技巧
引用本文:黄华,李红春,秦杰,陶红光,钱福永.腹腔镜阑尾切除术的常见难点与手术技巧[J].腹腔镜外科杂志,2009,14(4).
作者姓名:黄华  李红春  秦杰  陶红光  钱福永
作者单位:深圳市第三人民医院,广东,深圳,518020
摘    要:目的:探讨腹腔镜阑尾切除术(laparoscopic appendectomy,LA)的常见难点和手术技巧。方法:回顾分析我院近3年为220例阑尾炎患者行LA的临床资料。结果:216例在腹腔镜下顺利完成手术,4例中转开腹,阑尾取出困难62例,特殊位置阑尾18例,阑尾根部坏疽穿孔13例,阑尾周围重度粘连19例,阑尾显露困难12例,系膜出血7例,手术时间35~130min,住院时间3~9d,1例戳孔感染经对症处理后痊愈,无术后出血、肠粘连等并发症发生。结论:耐心、细致、熟练的腹腔镜外科技术是保证各种阑尾炎一期切除、减少并发症的关键。

关 键 词:阑尾切除术  阑尾炎  腹腔镜术

The common difficulties and surgical techniques of laparoscopic appendectomy
HUANG Hua,LI Hong-chun,QIN Jie,et al..The common difficulties and surgical techniques of laparoscopic appendectomy[J].Journal of Laparoscopic Surgery,2009,14(4).
Authors:HUANG Hua  LI Hong-chun  QIN Jie  
Institution:HUANG Hua,LI Hong-chun,QIN Jie,et al.The Third People's Hospital of Shenzhen City,Shenzhen 518020,China
Abstract:Objective:To explore the common difficulties and surgical techniques of laparoscopic appendectomy(LA).Methods:The clinical data of 220 cases with appendicitis receiving LA in the last 3 years were analyzed retrospectively.Results:Two hundred and sixteen procedures of these cases were successfully done by laparoscopy,the other four cases conversed to conventional operation.It was difficult to dislodge appendix in 62 cases and to reveal appendix in 12 cases.There were 18 cases of ectopic appendix,13 cases of ...
Keywords:Appendectomy  Appendicitis  Laparoscopy  
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