摘要
目的探讨经脐单孔腹腔镜阑尾切除术的临床应用。方法选择2012年3月～2012年7月清华大学第一附属医院行经脐单孔腹腔镜阑尾切除术患者20例,观察手术时间、术中出血量、数字疼痛分级(NRS)、住院时间、术后切口感染发生情况等指标。结果 1例术中改为普通腹腔镜阑尾切除术,其余19例均成功完成。手术时间为30～70 min,平均45 min,术中出血少,术后无出血,无肠瘘,无切口感染;住院时间3～5 d,术后未用止痛药物,腹壁无明显瘢痕。结论经脐单孔腹腔镜阑尾切除术具有创伤小、痛苦小、美容效果好等优点,但手术操作相对困难,应掌握好适应证。
Objective To explore the clinical application of the transumbilical single port laparoscopic appendectomy. Methods The clinical data of 20 cases in the First Affiliated Hospital of Tsinghua University from 2012 March to 2012 July were selected and analyzed retrospectively. Operation time, operative blood loss, NRS, hospital stay and postoperative incision infection were observed. Results In 20 patients, 1 case was performed standard laparos＇copic appendectomy because of severe adhesion, other of them were operated successfully without complication such as hemorrhage, intestinal fistula or wound infection, the operative time was 30-70 min, and the mean operative time was 45 min. No analgesicdrug was used. There was not obviously visible scar on abdominal wall. Conclusion The transumbilical single port laparoscopic appendectomy have advantages of mini-invasion, less pain and better cosmetic effect, but it is difficult to perform. It is right to apply the operation in qualified hospital with suitable indication.
出处
《中国医药导报》
CAS
2013年第10期53-54,57,共3页
China Medical Herald
关键词
阑尾切除术
经脐
单孔
腹腔镜检查
Appendectomy
Transumbilicus
Single port
Laparoscopy
