肥胖患者妇科腹腔镜手术同时行预防性病变阑尾切除44例报告

44 case reports of prophylactic appendectomy combined with gynaecological laparoscopic operation in obesity patients

目的探讨肥胖患者行妇科腹腔镜手术时行预防性阑尾切除的可行性。方法388例施行妇科腹腔镜手术的肥胖患者中的44例施行预防性阑尾切除,44例既往至少有2次以上保守治疗病史。结果手术均获得成功,无中转开腹。单独阑尾切除时间15～25min,平均20min。43例穿刺孔一期愈合,1例阑尾取出时断裂造成穿刺孔感染。无肠梗阻、肠漏及腹腔感染等并发症发生。结论肥胖患者妇科腹腔镜手术行预防性阑尾切除是安全可行的,可避免日后传统开行腹阑尾切除的困难及引起的创伤。

[Objective] To explore approach probability of prophylactic appendectomy meanwhile with gynaecological laparoscopic operation in obesity patients. [Methods] 44 of 388 gynaecological laparoscopic operations of obesity patients were performed prophylactic appendectomy meanwhile. All patients had experienced twice expectant treatments of appendicitis at least. [Results] All operations had been accomplished successfully with laparoscopic operation. The appendix resection time was 15～25 min (mean 20 min). Punctu...