经脐腹腔镜小儿急性阑尾炎切除术临床疗效分析

Analysis on the Clinical Effect of the Umbilical Laparoscopic Resection in Children with Acute Appendicitis

目的:探讨经脐腹腔镜小儿急性阑尾炎切除术的临床疗效。方法:选取2008年12月至2011年6月于我院自愿接受经脐腹腔镜急性阑尾炎切除术的小儿患者57例进行回顾性分析。手术通过腹腔镜探查患儿腹部,寻找阑尾,将阑尾沿器械孔道拖出腹腔切除。结果:所有患者均顺利完成手术。手术时间为15-35min不等,平均手术时间20min。住院时间为3-8d不等,平均住院时间为5d。术后排气时间6h至1d不等,平均排气时间为15h。刀口愈合良好,术后常规抗生素处理,未见感染及肠梗阻等并发症。结论:经脐腹腔镜小儿急性阑尾炎切除术具有手术时间短、刀口小、并发症少、腹壁不留疤痕等优点,安全可靠,患者满意度高,值得临床推广。

Objective： To observe the the clinical effect of the umbilical laparoscopic resection in chil- dren with acute appendicitis. Method： 57 children with acute appendicitis treated with the umbilical laparo- scopic resection voluntarily in our hospital from Dec. 2008 to Jun. 2011 were selected and analyzed retro- spectively. To find the appendix of the children by laparoscopic exploration on the abdominal , and resect the appendix along the channel equipment out of the abdominal. Result： All the patients were operated suc- cessfully , the mean operating time was 20 minutes （ 15-35 min }. The mean hospital days was 5days （ 3- 8days）. Flatus was passed about 15 hours after operation （6 hours-1 day }. Incision was healing well and conventional antibiotic treatment was made. No complications such as infection and intestinal obstruction oc- curred. Conclusion： The umbilical laparoscopic resection in children with acute appendicitis has the advan- tages of shorter operation time, less trauma, less complication and abdominal wall is not leaving a scar, etc, which is safe , reliable and with the high satisfaction of the patients. It is worthy to be promoted .