腹腔镜胆囊切除联合阑尾切除术30例临床经验与分析

目的 探讨急、慢诊施行腹腔镜胆囊(Laparoscopic cholecystectomy,LC)联合阑尾切除术(Laparoscopic appendectomy,LA)的操作要点和临床价值.方法 回顾性分析了我院2006年9月至2010年2月对30例患者施行腹腔镜胆囊联合阑尾切除术.其中,急性胆囊炎合并慢性阑尾炎1...

30 CASES OF CLINICAL EXPERIENCES ABOUT COMBINED LAPAROSCOPIC CHOLECYSTECTOMY AND APPENDECTOMY

Objective To explore the operative main point and clinical effects on combined laparoscopic cholecystectomy and appendectomy.Methods Between September 2006 and February 2010,30 cases of combined laparoscopic cholecystectomy and appendectomy were performed,the data were analyzed retrospectively.Of the patients,there included acute cholecystitis with chronic appendicitis(12 cases),acute cholecystitis with acute appendicitis(1 case),chronic cholecystitis with acute appendicitis(8 cases),and chronic cholecystitis with chronic appendicitis(9 cases).Results 30 cases all performed combined laparoscopic cholecystectomy and appendectomy successfully.There were no converting to open operation,no biliary leakage,and no excrement leakage.The mean operating time was(65.0±33.0) minutes.Conclusion This kind operation with three trocars can deal with cholecystitis and appendicitis at same time.It well made for advantages of less pain,less complications and more rapid recovery.