无钛夹腔内打结法腹腔镜阑尾切除的临床研究

The clinical study of laparoscopic appendectomy by endoscopic knotting without titanium-clip

目的 :探讨腔内打结技术在无钛夹腹腔镜阑尾切除术中的效果。方法 :应用腹腔镜腔内打结术行三孔法腹腔镜阑尾切除术 38例。于阑尾系膜根部紧贴阑尾壁戳孔分离系膜 ,穿过 7号丝线结扎阑尾系膜 ,沿阑尾缘电凝至根部 ,双重结扎切除阑尾。结果 :患者均于腹腔镜下行阑尾切除术 ,无中转开腹 ,手术平均时间 4 2min ,平均住院 4d。结论 :无钛夹腔内打结法腹腔镜阑尾切除术具有患者创伤小 ,康复快 ,安全可靠 ,手术费用低 。

Objective:To investigate the effect of laparoscopic appendectomy (LA) by endoscopic knotting without titanium clip.Methods:38 patients of the three trocar LA were performed by this method.After puncturing on the root between appendix and mesoappendix,gave ligation to mesoappendix by 7 # ligature.Then separated mesoappendix from tail to root by electrocautery,and gave double ligation to appendix by 7 ligature and removed it.Results:All patients were completed by this method in this group,with no conversion to open operation,the mean operative time 42 min,the mean time of hospitalization 4 days.Conclusions:This methods have advantages of minimal invasion,quicker recovery,safety and reliability,the decreased operating changes,and no titanium clip in abdominal cavity that take a harmful effect to patient's psychology and MRI's check up.