腹腔镜治疗阑尾周围脓肿21例报告

目的:探讨应用腹腔镜治疗阑尾周围脓肿的手术方法和手术效果。方法:回顾分析2007年6月至2009年8月为21例患者施行腹腔镜阑尾周围脓肿手术的临床资料,其中一期阑尾切除加脓肿病灶清除7例,一期脓肿引流、择期行阑尾切除14例。结果:21例均成功完成腹腔镜手术。术后除1例发生粘连性肠梗阻外,余均无出血、切口感染、阑尾残株炎、残端漏及腹腔残余脓肿等并发症发生。结论:根据患者病情制定诊疗方案,应用腹腔镜适时对阑尾周围脓肿进行手术治疗可获得很好的临床效果。

Application of laparoscopy in the treatment of periappendiceal abscess:a report of 21 cases

Objective:To investigate the operative method and effect of laparoscopy in the treatment of periappendiceal abscess.Methods:The clinical data of 21 patients who underwent laparoscopic periappendiceal abscess surgery from Jun.2007 to Aug.2009 were retrospectively analyzed.Among them,7 cases received abscess cleaning plus appendectomy,14 cases had abscess drainage and elective appendectomy.Results:All the laparoscopic procedures were successfully performed.In addition to adhesive intestinal obstruction in 1 patient,no complications such as hemorrhage,incision infection,inflammation of appendix stump,stump leakage or abdominal residual abscess occurred.Conclusions:The therapeutic strategy should be made personally.Laparoscopic treatment of periappendiceal abscess in time could get satisfying clinical effect.