阑尾系膜电凝法在腹腔镜阑尾切除中的应用

Clinical practice research of the laparoscopic appendectomy with electrocoagulation

目的探讨阑尾系膜电凝法在腹腔镜阑尾切除术中的可行性及安全性。方法回顾分析2011年6月—2013年6月该院腹腔镜阑尾切除术80例,术中紧贴阑尾自阑尾尖端向根部电凝切断阑尾动脉及其系膜,系膜不予以结扎。结果 80例中,76例顺利行腹腔镜阑尾切除术,中转开腹4例。平均手术时间35.5 min。结论阑尾系膜电凝法安全可靠,可缩短手术时间,降低手术难度。

objective To study the feasibility and safety of the application of electrocoagulation in the laparoscopic appendectomy. Methods Retrospective analysis was made of 80 patients undergoing laparoscopic appendectomy in Anhui Children＇s Hospital from June 2011 to June 2013. In the course of laparoscopic appendectomy,appendix artery and velum were cut and coagulated by electricity near the root. The velum needed not to be ligated. Results Among 80 cases,76 achieved successful laparoscopic appendectomy,while the other 4 transferred to open appendectomy. The average operation time was 35. 5 min. Conclusions Laparoscopic appendectomy with electrocoagulation is safe and reliable,which can shorten the operation time and decrease the operation difficulties.