腹腔镜小儿阑尾切除术52例报告

目的探讨腹腔镜在小儿阑尾切除术中的应用价值. 方法 2002年10月～2004年12月应用腹腔镜三孔法行小儿阑尾切除术52例. 结果 52例均顺利完成手术,手术时间20～50 min,平均30 min.术后2～4 d出院.2例穿刺孔周围发生皮下气肿,无其它并发症.49例随访3～29个月,平均14个月,无肠梗阻、腹腔内残余感染等发生. 结论腹腔镜小儿阑尾切除术创伤小,并发症少,安全,疗效确切.

Laparoscopic appendectomy in children: A report of 52 cases

Objective To explore the value of laparoscopic appendectomy (LA) in children. Methods A total of 52 children underwent laparoscopic appendectomy by using the 3-port technique from October 2002 to December 2004. Results The operations were performed smoothly in all the 52 cases. The operating time was 20~50 min (mean, 30 min). The patients were discharged from hospital at 2~4 postoperative days. Peri-port subcutaneous emphysema occurred in 2 cases. No other complications were found. Follow-up checkups for 3~29 months (mean, 14 months) in 49 cases found no intestinal obstruction or abdominal residual infection. Conclusions Laparoscopic appendectomy in children is safe, effective and minimally invasive.