经脐单孔腹腔镜阑尾切除术38例 |
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引用本文: | 沈巍,胡娟英.经脐单孔腹腔镜阑尾切除术38例[J].中国现代医生,2011,49(24):78-80. |
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作者姓名: | 沈巍 胡娟英 |
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作者单位: | 浙江省海宁市人民医院肝胆外科,浙江海宁,314400 |
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摘 要: | 目的探讨完全经脐单孔腹腔镜阑尾切除术的可行性及应用前景。方法选取2009年6月-2010年6月我科收治的阑尾炎患者108例,其中经脐单孔腹腔镜阑尾切除术38例,开腹阑尾切除术70例。比较两种术式的手术时间、下床活动时间、术后排气时间、镇痛药使用率、手术切口感染率、残余脓肿发生率、置管引流率和住院时间。结果除手术时间、残余脓肿发生率和综合费用外,腹腔镜组和开腹组以上各指标差异均有统计学意义(P〈0.05),腹腔镜手术组有明显的优势。结论完全经脐单孔腹腔镜阑尾切除术在技术上安全可行。
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关 键 词: | 单孔入径手术 单切口腹腔镜手术 开腹阑尾切除术 阑尾炎 |
Analysis of Totally Transumbilical Single-port Laparoscopic Appendectomy |
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Authors: | SHEN Wei HU Juanying |
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Institution: | Department of Hepatobiliary Surgery,Haining City People’s Hospital of Zhejiang Province,Haining 314400,China |
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Abstract: | Objective To evaluate the clinical feasibility and applying prospect of totally transumbilical single-port laparoscopic appendectomy. Methods Thirty eight patients underwent single-port laparoseop!c appendectomy and seventy cases with open appendectomy ( OA ) were selected in our department from June 2009 to June 2010. The operation time, use of pain-killer, complications, and the period and cost for hospitalization were studied. Results There were significant differences between transumbilical single-port laparoscopic appendectomy and OA among these indexes ( except the operation time, the incidence of residual abscess and the cost for hospitalization ) (P 〈 0.05 ). Conclusion Totally transumbilical single-port laparoscopic appendectomy is technically feasible and safe. |
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Keywords: | Single port access surgery Single incision laparoseopic surgery Open appendectomy Appendicitis |
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