期刊文献+

腹腔镜阑尾切除术24例临床疗效观察

下载PDF
导出
摘要 目的探讨腹腔镜阑尾切除术24例的经验。方法采用全身吸入麻醉,取平卧,头低足高位位,向左侧倾斜300。脐孔下缘,右下腹麦氏点及脐与耻骨联合连线中点偏左2cm处作切口,分别穿入Trocar,采用电分离钩,钛夹分别处理阑尾系膜及阑尾。结果本组24例均在腹腔镜下完成,手术时间30min~2h,术后住院时间1~5d,平均2.5d。本组出现右下腹切口感染1例,余病例顺利康复。无阑尾动脉出血、阑尾残端漏及肠粘连。结论腹腔镜阑尾切除术作为阑尾炎治疗的一种新技术,具有病灶清理彻底、创伤小、恢复快、腹壁瘢痕小、伤口美观、住院时间短、并发症少的特点,值得临床推广。
作者 秦刚 廖泷
出处 《遵义医学院学报》 2007年第3期359-360,共2页 Journal of Zunyi Medical University
  • 相关文献

参考文献6

  • 1Serum K. Endoscopic appendicectomy[J]. Endoscopy, 1983, 15:59-64.
  • 2Kum CK,Sim E,Goh P.Diagnostic laparoseopy:reducing the number of normal appendectomies [J].Dis Colon Rectum, 1993,36:763.
  • 3Barrat C,Catheline JM,Rizk N,et al. Does laparoseopy reduce the incidence of unnecessary appendicectomies[J]. Stag Laparose Endose, 1999,9:27-31.
  • 4Wilde RL.Goodbye to late bowel obstruction after appendectomy[J] .Laneent, 1991,338:1012-1013.
  • 5Krurowski ZH.Preventing wound infecton after appendectomy [J].BrJ surg ,1988,25:1023-1028.
  • 6陈维荣,沈文律.经腹腔镜阑尾切除术的现状和展望[J].中华消化内镜杂志,1998,15(2):126-128. 被引量:12

二级参考文献19

  • 1孙振钢,邵如庆,杨志奇,王锐,舒柏荣.腹腔镜阑尾手术的探讨[J].临床外科杂志,1995,3(4):190-192. 被引量:14
  • 2杨志奇,卢德高,舒柏荣,张克难,邵如庆.内凝法及自制阑尾移出钳用于电视腹腔镜阑尾切除术的临床研究与应用[J].临床外科杂志,1996,4(4):207-209. 被引量:3
  • 3Pire A. Laparoscopic appendectomy. World J Surg, 1993,17:29-32.
  • 4Whitworth CM, Whitworth PW, Sanfillipo J, et al, Value of diagnostic laparoscopy in young women with possible appendicitis. Surg Gynecol Obstet, 1988,167 : 187-190.
  • 5Welch NT, Hinder RA, Fitzgibbons RJJ. Laparoscopic incidental appendectomy. Surg Laparosc Endosc, 1991,1:116-118.
  • 6Heinzelmann M, Simmen HP, Cummins AS, et al. Is laparoscopic appendectomy the new ‘gold standard’? Arch Surg, 1995,130:782-785.
  • 7Kvm ck,Ngoi ss, Goh PM, et al. Randomized controlled trial comparing lapamscopic and open appendectomy. By J Surg, 1993, 80:1599-1600.
  • 8Mompean JAL, Campos RR, Partcio PP, et al. Laparoscopic versus open appendectomy: a prospective assessment Br J Surg, 1994,81:133-135.
  • 9Ikard RW, Federspiel CF. Laparoscopic versus open appendectomy. N Engl J Med, 1995, 333:881-882.
  • 10Mccahill LE, Pellegritti CA. Wiggins T, et al. A clinical outcome and cost analysis of laparoscopic versus open appendectomy. Am J Surg, 1996,171:533-537.

共引文献11

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