腹腔镜阑尾切除术的临床分析

The Clinical Analysis of Laparoscopic Appendectomy

目的 探讨腹腔镜阑尾切除术（LA）的临床应用,总结其治疗经验。方法 回顾分析2012年1月至2013年12月经腹腔镜治疗的29例阑尾炎患者的临床资料。结果 其中3例患者阑尾周围粘连严重解剖不清中转开腹,余26例患者顺利完成手术,手术时间30~75 min,平均39 min。术中出血5~60 m L,平均15 m L,6例放置腹腔引流管引流,患者术后6~18 h下床活动,住院2~6 d,平均3 d,切口感染2例,经换药处理痊愈出院,术后随访10~22个月,平均18个月,无粘连性肠梗阻及切口疝发生。结论 腹腔镜阑尾切除术患者创伤小、出血少,患者术后并发症少、康复快,是安全、有效的阑尾切除术式,值得临床推广应用。

Objective To investigate the laparoscopic appendectomy （LA） in the clinical application, summarize the treatment experience. Methods Retrospective analysis of January 2012 to December 2013 menstrual laparoscopic treatment of 29 cases of appendicitis in patients with clinical data. Results Among 3 patients with periappendicural serious adhesions unclear anatomy of laparotomy, 26 patients were successfully completed operation, operation time 30-75 min, average 39 min. Intraoperative bleeding 5-60 mL, average 15 mL, 6 cases of abdominal drainage drainage, postoperative ambulation hospitalized 6-18 h, 2-6 d, average 3 d, incision infection in 2 cases, by dressing treatment cured, postoperative follow-up of 10 to 22 months, average 18 months, no adhesive intestinal obstruction and incision hernia the occurrence. Conclusion Laparoscopic appendectomy patients with small trauma, less bleeding, less postoperative complications, patients with rapid recovery is a safe, effective appendectomy, worthy of clinical application.