摘要
目的探讨腹腔镜切除术治疗急性坏疽穿孔性阑尾炎的临床价值。方法 2011年6月～2014年9月对36例急性坏疽穿孔性阑尾炎施行腹腔镜下阑尾切除术,腹腔镜下探查腹腔,吸净脓液及渗液,提起阑尾显露系膜,用双极电凝钳切断阑尾系膜,编织线双重套扎阑尾根部,阑尾残端予以荷包包埋,放置腹腔引流。结果 36例均顺利完成手术,无中转开腹,无并发症发生。手术时间45～115 min,平均65 min。术后引流管留置2～4 d。术后5～7 d出院。33例随访3～6个月,无腹痛、腹胀等表现。结论腹腔镜阑尾切除术治疗急性坏疽穿孔性阑尾炎安全、有效,可直视下腹腔冲洗,放置准确有效的引流管。
Objective To explore the clinical value of laparoscopic appendectomy for acute gangrenous perforated appendicitis. Methods A total of 36 patients with acute gangrenous perforated appendicitis underwent laparoscopic appendectomy from June 2011 to September 2014. After laparoscopic exploration and suction of purulent fluid and exudate,the appendix was lifted to expose and cut off mesenterium with bipolar electrocoagulation. The appendix root was double-ligated and the stump was purse string sutured. An abdominal drainage was placed. Results All the 36 cases were successfully operated. There was no conversion to laparotomy and complications. The operation continued for 45- 115 min,with a mean of 65 min. The postoperative drainage was indwelled for 2- 4 d. All the patients recovered and went home after 5- 7 d. Follow-ups for 3- 6 months in 33 patients found no abdominal pain or distention. Conclusion Laparoscopic appendectomy for acute gangrenous perforated appendicitis is safe and effective,with advantages of peritoneal washing under direct vision and accurately and effectively placing drainage tube.
出处
《中国微创外科杂志》
CSCD
北大核心
2016年第4期380-381,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜阑尾切除术
急性坏疽穿孔性阑尾炎
腹腔引流术
Laparoscopic appendectomy
Acute gangrenous perforated appendicitis
Peritoneal drainage
