用传统方法行腹腔镜阑尾切除的可行性研究

The Feasibility Study of Laparoscopic Appendectomy in the Traditional Way Department of Laparoscopic Surgery

目的:探讨腹腔镜下按传统方法切除阑尾的可行性。方法:回顾性分析2005年1月至2006年2月47例腹腔镜阑尾切除术资料,均使用3孔法腔内缝合打结技术,35例阑尾残端结扎后行荷包缝合包埋,另12例阑尾残端单纯结扎后不予包埋。对其术前的临床资料、手术时间、并发症及术后恢复情况进行纪录。结果:全部手术均在腹腔镜下成功完成,残端包埋组手术时间较单纯结扎组明显延长(24.5min、33.8min),术后平均住院时间差异无显著性(2.1d、2.3d),未发现伤口感染及腹腔脓肿。结论:腹腔镜下按传统方法处理阑尾是安全可行的。

Objective To evaluate the feasibility of laparoseopie appendectomy in traditional way. Methods The data of 47 cases of laparoscopic appendectomy during Jan 2005 to Feb. 2006 was retrospective analysed. All were completed by 3-trocar and intraperitoneal knotting technique, 12 of them the stump of appendecus were simply ligated and the other 35 were ligated and inverted with purse-string suture. The clinical data before and after operation were recorded. Results All the operation were successfully completed under laparoscopy. The operative time of the stump inverted group were significantely longer than the simply ligated group （24.5 vs 33.8 minutes）, The in-hospital stay after operation were not singnificantly between the two groups （2. 1 vs 2. 3 days）, no wound infection nor abdominal abscess were found. Conclusion Laparoscopic appendectomy in the traditional way feasibility and safe.