改良经脐单孔腹腔镜阑尾切除术的临床应用

Clinical application of modified single-port transumbilical laparoscopic appendectomy

目的:探讨改良经脐单孔腹腔镜阑尾切除术的手术方法及临床价值。方法:2010年1月至2012年5月为39例阑尾炎患者行改良经脐单孔腹腔镜阑尾切除术。脐部做15 mm切口,置入10 mm 30度腹腔镜,再锐性置入1把3 mm操作钳,并联合应用临床常用气腹针。结果:39例手术均获成功,无一例中转开腹或常规腹腔镜手术。手术时间平均(30±5.6)min,平均住院(4±1.5)d。术后随访1～29个月,无切口感染、再发右下腹痛等并发症发生。结论:改良经脐单孔腹腔镜阑尾切除术操作方便、可行,具有疗效确切、患者创伤小、康复快、美容效果好、住院费用低等优点,适合临床推广应用。

Objective：To evaluate the clinical value of modified single-port transumbilical laparoscopic appendectmy.Methods：From Jan.2010 to May 2012,39 patients with appendicitis were treated with modified single-port transumbilical laparoscopic appendectomy at our hospital.Clinical data of these patients were analyzed retrospectively.During the operation,a 15 mm umbilical incision was made to place a 10 mm 30° laparoscope and an 3-mm operating clamp with common veress needle.Results：The operation was completed successfully in all cases without conversion to open surgery or other.Average operative time was（30±5.6） min.Average length of postoperative hospital stay was（4±1.5） days.Follow-up was achieved in 39 cases for 1-29 months.No incisional infection or recurrent right lower abdominal pain occurred.Conclusions：Modified Single-port transumbilical laparoscopic appendectmy was feasible,safe,and less invasive.It was associated with faster recovery,better cosmetic results and low cost of hospitalization.