经脐孔腹腔镜阑尾切除术225例临床观察

Clinical research on laparoscopic appendectomy through umbilicus

目的探讨经脐部单孔法腹腔镜小儿阑尾切除术的可行性及治疗经验。方法对225例小儿急性阑尾炎采用脐部单孔法腹腔镜阑尾切除术,并观察其疗效。结果本组手术时间10～40min,平均(20±6.55)min,术后排气时间4～24h,平均(16±5.45)h。术后切口全部Ⅰ期愈合,无近期并发症。腹部未见切口瘢痕。结论脐部单孔法腹腔镜阑尾切除术是小儿阑尾炎治疗中简洁、有效的手术方法之一,可使部分阑尾炎手术成为一种美容手术。

Objective To explore the feasibility and therapeutic experience of laparoscopic appendectomy through umbilicus in children. Methods 225 cases of acute appendicitis were treated with umbilical single hole laparoscopie appendectomy. For umbilical 1.0cm incision, insert two 0.5cm Trocar insertion forceps injury Profiler abdominal organs to find appendectomy grip appendix tip, the appendix completely pulled out from the umbilical abdominal resection using conventional open appendectomy processing the appendix and its mesentery, the completion of the appendectomy. Results The operative time was 10 to 40min （ 20±6.55 min）. The postoperative exhaust time was 4 to 24h （16±5.45） h. There was no short-term complications. The abdomen has no incision scar. Conclusion The umbilical single-hole method laparoscopic appendectomy is a simple, effective surgical method in the treatment of pediatric appendicitis and it can make the part appendicitis operation become a cosmetic surgery and to become a part of the appendicitis surgery cosmetic surgery.