摘要
目的:探讨荷包缝合包埋阑尾残端在单孔腹腔镜阑尾切除术中的应用价值。方法:回顾分析2016年5月至2018年5月因急性、慢性阑尾炎行单孔腹腔镜阑尾切除术的42例患者的临床资料,其中19例残端采用荷包包埋(包埋组),23例残端采用丝线单纯结扎(结扎组),对比分析两组患者手术情况及术后恢复情况。结果:两组术中出血量、术后通气时间、住院时间及术后并发症发生率差异均无统计学意义,但包埋组手术时间长于结扎组,术后早期切口疼痛评分高于结扎组。结论:阑尾残端荷包包埋与单纯结扎均是单孔腹腔镜阑尾切除术中处理阑尾根部安全、有效的方式,单纯结扎相对简化了手术,缩短了手术时间,降低了术后早期切口疼痛,且不会增加术后并发症发生率。
Objective: To investigate the application value of purse-string suture and stump embedding in transumbilical single-port laparoscopic appendectomy. Methods: From May 2016 to May 2018,42 patients underwent transumbilical single-port laparoscopic appendectomy for acute or chronic appendicitis.They were treated by two different methods:purse-string suture and stump embedding was performed in 19 cases (embedding group);simple ligation using silk was performed in 23 cases (ligation group).The surgical situation and postoperative recovery were compared between the two groups. Results: There were no significant differences between the two groups in operative bleeding,postoperative ventilation time,hospitalization time or postoperative complication rate,but the operation time of the embedding group was longer than that of the ligation group,and the early postoperative incision pain scores in the embedding group were more than those in the ligation group. Conclusions: The purse-string suture embedding and simple ligation of stump are safe and effective in treatment of the appendix root in single-port laparoscopic appendectomy.Compared with purse-string suture,the simple ligation is easy to perform,reduces the operation time and the early postoperative incision pain,and does not increase the postoperative complication incidence.
作者
黄传江
徐宁
赵小军
程之逸
刘贵远
王元杰
HUANG Chuan-jiang;XU Ning;ZHAO Xiao-jun(Department of General Surgery,Taizhou People's Hospital Affiliated to Nantong University,Taizhou 225300,China)
出处
《腹腔镜外科杂志》
2019年第2期135-137,共3页
Journal of Laparoscopic Surgery
