改良经脐单孔腹腔镜阑尾切除术的临床应用 |
| |
引用本文: | 郭伟,邓宁,王佾,李铁军,陈波,彭清明.改良经脐单孔腹腔镜阑尾切除术的临床应用[J].腹腔镜外科杂志,2012,17(9):701-703. |
| |
作者姓名: | 郭伟 邓宁 王佾 李铁军 陈波 彭清明 |
| |
作者单位: | 重庆市第九人民医院,重庆,400700 |
| |
摘 要: | 目的:探讨改良经脐单孔腹腔镜阑尾切除术的手术方法及临床价值。方法:2010年1月至2012年5月为39例阑尾炎患者行改良经脐单孔腹腔镜阑尾切除术。脐部做15 mm切口,置入10 mm 30度腹腔镜,再锐性置入1把3 mm操作钳,并联合应用临床常用气腹针。结果:39例手术均获成功,无一例中转开腹或常规腹腔镜手术。手术时间平均(30±5.6)min,平均住院(4±1.5)d。术后随访1~29个月,无切口感染、再发右下腹痛等并发症发生。结论:改良经脐单孔腹腔镜阑尾切除术操作方便、可行,具有疗效确切、患者创伤小、康复快、美容效果好、住院费用低等优点,适合临床推广应用。
|
关 键 词: | 阑尾切除术 腹腔镜检查 经脐 单孔 |
Clinical application of modified single-port transumbilical laparoscopic appendectomy |
| |
Institution: | GUO Wei,DENG Ning,WANG Yi,et al.Department of General Surgery,the Ninth People’s Hospital of Chongqing,Chonqing 400700,China |
| |
Abstract: | Objective:To evaluate the clinical value of modified single-port transumbilical laparoscopic appendectmy.Methods:From Jan.2010 to May 2012,39 patients with appendicitis were treated with modified single-port transumbilical laparoscopic appendectomy at our hospital.Clinical data of these patients were analyzed retrospectively.During the operation,a 15 mm umbilical incision was made to place a 10 mm 30° laparoscope and an 3-mm operating clamp with common veress needle.Results:The operation was completed successfully in all cases without conversion to open surgery or other.Average operative time was(30±5.6) min.Average length of postoperative hospital stay was(4±1.5) days.Follow-up was achieved in 39 cases for 1-29 months.No incisional infection or recurrent right lower abdominal pain occurred.Conclusions:Modified Single-port transumbilical laparoscopic appendectmy was feasible,safe,and less invasive.It was associated with faster recovery,better cosmetic results and low cost of hospitalization. |
| |
Keywords: | Appendectomy Laparoscopy Transumbilical Single-port |
本文献已被 CNKI 维普 万方数据 等数据库收录! |
|