期刊文献+

免钛夹单极梯度电凝法腹腔镜阑尾切除术120例临床体会 被引量:8

Clinical analysis of 120 cases of laparoscopic appendectomy using monopolar gradient electrocoagulation without clips
在线阅读 下载PDF
导出
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.
机构地区 泰安市中心医院
出处 《腹腔镜外科杂志》 2011年第6期471-472,共2页 Journal of Laparoscopic Surgery
关键词 阑尾炎 阑尾切除术 腹腔镜检查 Appendicitis Appendectomy Laparoscopy
  • 相关文献

参考文献8

二级参考文献26

  • 1周全胜.腹腔镜胆囊切除术预防胆管损伤的研究进展[J].腹腔镜外科杂志,2001,6(1):47-49. 被引量:47
  • 2钱光相,吴孟超,张永杰,陈汉,周伟平,张柏和.腹腔镜胆囊切除术胆管损伤的类型及原因分析[J].中华外科杂志,1995,33(11):647-649. 被引量:49
  • 3王存川,陈均,许朋,胡友主,宋逢春.腹腔镜阑尾切除术146例分析[J].中国内镜杂志,1996,2(4):41-42. 被引量:28
  • 4Pire A.Laparoscopic appendectomy[J] .World J Surg, 1993,17:29.
  • 5Yao CC, Wong HH, Chen CC, et al. Migration of endoelip into duodenum. A rare complication after laparoscopie cholecystectomy [ J ].Surg Endose,2001,15(2) :217.
  • 6Amaud JP,Bergamaschi R.Migrafion and slipping of metal clips after laparoscopic cholecystectomy[J]. Surg Laparose Endosc, 1993,3(6) :487 - 488.
  • 7Tsumura H, Ichikawa T, Kagawa T, et al. Failure of endoscopic removal of common bile duct stones due to endo-clip migration following laparoscopic cholecystectomy[J]. J Hepatobiliary Pancreat Surg,2002,9(2) :274- 277.
  • 8Ng WT, Kong CK, Lee WM. Migration of three endoclips following laparoscopic cholecystectomy[ J]. J R Coil Surg Edinb, 1999,44(3) :200-202.
  • 9Hansen KA, Wood R. An unusual complication of laparosoopic cholecystectomy[ J ]. Endoscopy 1994,26(3) : 322 - 323.
  • 10Scheel-Hincke JD, Berendtsen H. Migrating clips-a complication of laparoscpic sterilization with Filshie clips[J]. Ugeskr Laeger, 1994,156(32) :4592 - 4593.

共引文献242

同被引文献50

  • 1赵增双.腹腔镜联合手术中不增加切口只改变切口位置的临床价值[J].中国微创外科杂志,2004,4(6):474-475. 被引量:15
  • 2中华医学会外科分会腹腔镜与内镜外科学组.腹腔镜阑尾切除术常规[J].腹腔镜外科杂志,2006,11(4):359-360. 被引量:117
  • 3王秋生,邓绍庆,李恩宽,温玉.腹腔镜联合手术[J].中华外科杂志,1997,35(2):84-88. 被引量:135
  • 4吴孟超,吴在德.黄家驷外科学[M].7版,北京:人民卫生出版社,2008:1329-1330.
  • 5黎介寿,吴孟超.普通外科手术学[M].2版.北京:人民军医出版社,2007:682.
  • 6陈训如 田伏洲 黄大熔.微创胆道外科手术学[M].北京:军事医学科学出版社,2004.89.
  • 7Semm K. Endoscopic appendectomy [ J ]. Endoscopy, 1983,15 ( 2 ) : 59-64.
  • 8Semm K. Endoscopic appendectomy [ J ]. Endoscopy, 1983,15 ( 2 ) : 59-64.
  • 9Jellison FC, Baldwin DD, Berger KA, et al. Comparison of nonabsorbable polymer ligating and standard titanium clips with and without a vascular cuff [J]. J Endourol, 2005,19 (7):889- 893.
  • 10MacfadyenBVJr.现代腹腔镜外科学[M].黄志强,李荣,周宁新,译.天津:天津科学技术出版社,2006:342.

引证文献8

二级引证文献14

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部