单孔腹腔镜阑尾切除术69例临床体会

Single-port laparoscopic appendectomy:with a report of 69 cases

目的：探讨总结丝线悬吊法单孔腹腔镜阑尾切除术的临床经验。方法：经脐部单孔置入腹腔镜和操作钳,右下腹刺入带线的圆针,缝合悬吊阑尾后结扎阑尾系膜和根部。结果：69例手术均获成功,平均手术时间36min,2-3d出院,无并发症发生。结论：丝线悬吊结扎法单孔阑尾切除术创伤小,无腹壁瘢痕,方法简单、可靠、价廉,易于推广。

Objective：To investigate and summarize the clinical experience of silk thread suspended single-port laparoscopic appendectomy.Methods：Laparoscope and operative clip were inserted through transumbilical single-port,round needle with a line punctured at right lower abdomen,sutured and suspended appendix,ligated mesoappendix and root.Results：The procedure was successful in 69 cases,mean operative time was 36min,postoperative hospital stay was 2-3d without complications.Conclusions：Silk thread suspension ligation single-port appendectomy is mini-invasive,simple,reliable,inexpensive,with no abdominal scar,and easy to be popularized.