悬吊固定法在腹腔镜阑尾切除术中的应用

Application of the method of endoscopic hanging and fastening in laparoscopic appendectomy

目的:探讨腹腔镜阑尾切除术(LA)的简易方法.方法:应用悬吊固定法,行三孔法腹腔镜阑尾切除术53例.以2mm细铁丝或带线皮针自腹壁刺入腹腔内,用细铁丝或缝线固定阑尾头部及根部,收紧腹壁外细铁丝或缝线,使阑尾游离端相对固定,然后行阑尾切除术.结果:手术均获成功,无中转开腹,平均手术时间20min,比常规LA缩短10～15min,平均住院3d.结论:悬吊固定法LA较非固定LA具有简单易行,手术时间短,安全快捷,避免腹腔内金属异物存留等优点.

Objective：To explore the easy method of laparoscopic appendectomy （LA） by endoscopic hanging and fastening. Methods：53 patients of the three-trocar LA were performed through endoscopic hanging and fastening method. Punctur the abdominal wall with 2mm iron wires or ligature needles attaching No. 4 ligature. Then fastening the head and the root of the appendix with the iron wire or the No. 4 ligature and simultaneously tightening the rest part of the iron wire or the No. 4 ligature left out side of the abdominal cavity. Thus the free appendix was in a relative stable position, then remove the appendix. Results：All patients were completed by this method in this group, with no conversion to open operation;the mean operative time was 20min which is shorter 10-15min comparing to conventional LA;mean time of hospitalization was 3 days. Conclnsions：Employing the method of hanging and fastening in LA has advantages of easy performing, economizing time in operation, safety and reliability, and no titanium-clip in abdominal cavity.