摘要
目的:探讨腹腔镜阑尾切除术(laparoscopic appendectomy,LA)应用免钛夹单极梯度电凝法处理阑尾系膜的安全性和手术技巧。方法:回顾分析为120例患者应用免钛夹单极梯度电凝法行LA的临床资料。结果:120例手术均获成功,手术时间30~90m in,平均45m in。术后住院2~7d,平均4d,术后无出血、肠梗阻等并发症发生。结论:应用免钛夹梯度电凝法行LA安全可行,患者出血少,手术时间短,费用低,且无钛夹遗留,值得推广应用。
Objective:To explore the security and surgical techniques of monopolar gradient electrocoagulation in laparoscopic appendectomy(LA) without clips.Methods:Clinical data of 120 patients who underwent LA with monopolar gradient electrocoagulation from 2009 to 2011 were retrospectively analyzed.Results:All of the 120 cases were treated successfully under laparoscopy without conversion to open surgery.Mean operation time was 45min(range,30-90min).Mean length of hospital stay was 4d(range,2-7d).No severe complications were found.Conclusions:The monopolar gradient electrocoagulation is a feasible and safe method with shorter operation time,less blood loss,and less hosptial cost.This procedure is worth popularization without titanium clips left.
出处
《腹腔镜外科杂志》
2011年第6期471-472,共2页
Journal of Laparoscopic Surgery