摘要
目的:探讨LC(腹腔镜胆囊切除术)联合LA(腹腔镜阑尾切除术)治疗外科急腹症的临床应用。方法对2010年1月~2013年10月我院施行的50例腹腔镜胆囊阑尾联合切除术的临床资料进行回顾性分析,其中慢性结石性胆囊炎急性发作并慢性阑尾炎14例,慢性结石性胆囊炎并急性阑尾炎31例,胆囊息肉并急性阑尾炎5例。结果50例均顺利完成手术,无中转开腹,无手术并发症,手术时间75~120min,平均手术时间97.5min,住院天数5~9d,平均7d。所有病例均在术后3个月电话回访,无胆漏、阑尾残端漏、腹腔感染、粘连性肠梗阻、切口疝等手术并发症发生。结论 LC联合LA治疗治疗胆囊和阑尾病变以及腹腔内的其他疾病,具有创伤小、恢复快、并发症少,手术切口美观的优点,值得推广。
Objective To study the clinical application of combined 1apaxoscopic cholecystectomy and 1aparoscopic appendectomy to treat surgical acute abdominal disease.Methods The clinical data of 50 patients who underwent laparoscopic cholecystectomy combined with laparoscopic appendectomy between January 2010 and October 2013 in our department were retrospectively analyzed.There were acute cholecystitis and chronic appendicitis in 14 cases,There were chronic cholecystitis and acute appendicitis in 31 cases,There were gal bladder polyp and acute appendicitis in 5 cases.Al the patients suffered from gal bladder stone.Results All the procedures were successfully completed.No conversion to open surgery and no postoperative complications occurred.The mean operative time 97.5 min and the mean hospital stay was 7d.Conclusion LC combined with LA can treat the diseases in the gall bladder and the appendix and other abdominal visceral diseases at the same time,showing the advantages such us fewer traumas,rapid recovery,less complications and bet er cosmetic result,is worth promoting.
作者
高绪仲
姚俊
王忆勤
GAO Xu-zhong;YAO Jun;WANG Yi-qin(Department of Surgery,Wuhan City Wuchang Hospital,Wuhan 430063,Hubei,China)
关键词
LC
腹腔镜胆囊切除术
LA
腹腔镜阑尾切除术
外科急腹症
LC
Laparoscopic cholecystectomy
LA
Laparoscopic appendectomy
Surgical acute abdominal disease
