两孔法腹腔镜阑尾切除术50例报告

Two-port laparoscopic appendectomy:a report of 50 cases

目的:探讨两孔法腹腔镜阑尾切除术的安全性及有效性。方法:总结分析1995年6月至2011年12月为50例患者行两孔法腹腔镜阑尾切除术的临床资料。结果:50例均顺利完成手术,无手术死亡、切口感染、脂肪液化、腹腔内脏损伤、腹腔内脓肿及肠粘连等并发症发生,术后2～5 d痊愈出院。结论:两孔法腹腔镜阑尾切除术安全、有效,与开腹及三孔法腹腔镜阑尾切除术相比,脂肪液化率、切口感染率、盆腔感染率明显降低,具有美容效果好、易学、患者创伤更轻、痛苦更小、费用更低等优点。

Objective ： To evaluate the safety and efficacy of two-port laparoscopic appendectomy. Methods： The clinical data of 50 patients who underwent two-port laparoscopic appendectomy from Jun. 1995 to Dec. 2011 were analysed retrospectively. Results：All operations were conducted successfully, no death,incision infection, tat liquefaction, abdominal organs injuries, abdominal abscess or in- testinal adhesion occurred, and all patients were discharged from hospital 2 to 5 days after operation. Conclusions ： Two-port laparoscop- ic appendectomy is a safe and effective procedure which has lower rates of fat liquefaction, incision and pelvic infection compared with open and three-port laparoscopic appendectomy. It has the advantages of better cosmetic effect, easier manipulation, less trauma and pain, as well as less expenditure.