气腹针穿线在双孔腹腔镜阑尾切除术中的应用

发布时间：2018-05-08 01:06

本文选题：阑尾切除术 + 腹腔镜检查　；参考：《安徽医药》2016年11期

【摘要】：目的探讨应用气腹针穿线悬吊阑尾配合双孔腹腔镜阑尾切除术(LA)的安全性、可行性、技术要点及优势。方法回顾性分析应用气腹针穿线悬吊阑尾配合双孔腹腔镜阑尾切除术18例患者的临床资料。结果 18例均手术成功,手术时间23~76 min,平均(32±6)min。术中出血量为4~10 m L,患者术后肛门排气时间为6.5~20.5 h,平均(9.0±2.6)h。术后无肠瘘、切口感染、腹腔脓肿等近期并发症发生。术后切口微创美观。术后病理检查示急性化脓性阑尾炎5例、急性单纯性阑尾炎9例,慢性阑尾炎4例。全组患者获得随访(门诊随访7例、电话随访11例),术后平均随访时间为4个月(2~10个月),未发生戳孔疝、黏连性肠梗阻等远期并发症,手术瘢痕不明显。结论应用气腹针穿线悬吊阑尾配合双孔腹腔镜阑尾切除术是安全可行的,气腹针穿线操作简单、经济实用,是一种简单易行的方法。
[Abstract]:Objective to explore the safety, feasibility, technical essentials and advantages of pneumoperitoneum puncture for suspending appendix and double hole laparoscopic appendectomy. Methods the clinical data of 18 cases of laparoscopic appendectomy with pneumoperitoneum thread suspension and double hole laparoscopic appendectomy were retrospectively analyzed. Results all the 18 cases were successfully operated, the operative time was 2376 minutes (mean 32 卤6 minutes). The blood loss during operation was 4m / L, and the time of anal exhaust was 6.5 卤20.5 h, with an average of 9.0 卤2.6 hs. Postoperative intestinal fistula, incision infection, abdominal abscess and other recent complications occurred. The incision was minimally invasive and beautiful. Pathological examination showed acute suppurative appendicitis in 5 cases, acute simple appendicitis in 9 cases and chronic appendicitis in 4 cases. All patients were followed up (7 outpatients and 11 by telephone. The average follow-up time was 2 ~ 10 months after operation. There were no long term complications such as herniation of popliteal hernia, adhesive intestinal obstruction, etc.) the operation scar was not obvious. Conclusion it is safe and feasible to apply pneumoperitoneum needle in suspending appendicitis and double hole laparoscopic appendectomy. The operation of pneumoperitoneum needle puncture is simple, economical and practical, and it is a simple and feasible method.
【作者单位】：宿州市立医院普外科;
【分类号】：R656.8

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