摘要
目的探讨困难腹腔镜阑尾切除术(Laparoscopic appendectomy,LA)的方法。方法回顾分析笔者所在医院2004年10月至2009年4月行困难LA 46例患者的临床资料。结果 46例患者均在腹腔镜下完成阑尾切除术,无1例中转开腹,无严重并发症发生。手术时间50～120 min,平均75 min。术后平均住院5.1 d。结论腹腔镜阑尾切除术具有创伤小、疼痛轻、恢复快及住院时间短等优点,尤其适合于肥胖、老年人及诊断未明的腹膜炎患者。术中仔细操作,重视腹腔引流,可降低并发症的发生率。
Objective To explore the surgery of laparoscopie appendectomy in difficulty. Methods The clinical data of 46 cases from Oct. 2004 to Apr. 2009 were analyzed retrospectively. Results The procedure was successfully performed in all cases, without conversion to open abdominal operation and severe complications. The duration of operation was 50 - 120 min,averaged 75 min. Average length of postoperative hospitalization was 5.1 d. Conclusion Laparoscopic appen- dectomy has the advantages of little hurt,gentle painess, quick recovery and short hospitalization. It is especially suitable for fat, aged and undefinidy peritonitis. Operating carefully and paying attention to abdominal drainage can decreace the rate of complication.
出处
《中国医学创新》
CAS
2009年第32期27-28,共2页
Medical Innovation of China
关键词
阑尾炎
阑尾切除术
腹腔镜
引流
Appendicitis
Appendectomy
Laparoscopy
Drainage
