免钛夹单极梯度电凝法腹腔镜阑尾切除术120例临床体会

目的:探讨腹腔镜阑尾切除术(laparoscopic appendectomy,LA)应用免钛夹单极梯度电凝法处理阑尾系膜的安全性和手术技巧.方法:回顾分析为120例患者应用免钛夹单极梯度电凝法行LA的临床资料.结果:120例手术均获成功,手术时间30～90min,平均45min.术后住院2～7d,平均4d,术后无出血...

Clinical analysis of 120 cases of laparoscopic appendectomy using monopolar gradient electrocoagulation without clips

Objective:To explore the security and surgical techniques of monopolar gradient electrocoagulation in laparoscopic appendectomy(LA) without clips.Methods:Clinical data of 120 patients who underwent LA with monopolar gradient electrocoagulation from 2009 to 2011 were retrospectively analyzed.Results:All of the 120 cases were treated successfully under laparoscopy without conversion to open surgery.Mean operation time was 45min(range,30-90min).Mean length of hospital stay was 4d(range,2-7d).No severe complications were found.Conclusions:The monopolar gradient electrocoagulation is a feasible and safe method with shorter operation time,less blood loss,and less hosptial cost.This procedure is worth popularization without titanium clips left.