摘要
目的:探讨腹腔镜下应用圈套器、7号丝线三重套扎切除阑尾根部的可靠性与安全性。方法:256例阑尾炎患者均用圈套器、7号丝线于距阑尾根部0.2cm、0.3cm、0.5cm处三重套扎。在远端两线间切断阑尾,残端粘膜单极电凝烧灼破坏。结果:256例阑尾炎患者均无残端粪漏发生,亦无残端脓肿及其他并发症发生。术后平均住院3.8d,均痊愈出院。结论:腹腔镜三重套扎法处理阑尾根部安全可靠,对机体无刺激,经济实用,术后无不良反应。此技术简单易学,易在基层医院大力推广。
Objective：To investigate the reliability and safety of laparoscopic incision of appendix root with snare and triple loop ligature of 7-0 silk suture. Methods：Two hundred and fifty-six cases with appendicitis were treated with snare and 7-0 silk suture. The root of appendix underwent triple loop ligature in the distance of 0. 2cm,0. 3cm and 0. 5cm. The appendix was cut between two threads in the distant end. The mucosa of remnant end was destroyed by monopolar electrocoagulation. Results：There were no complications occurred, such as feces leakage or abscess in stump. Mean postoperative hospitalization was 3.8d. All cases were cured and discharged. Conclusions ： Laparoscopic triple loop ligature in treatment of appendix root is safe, reliable and economic, without stimulus or pOstoperative adverse reaction. This technique is easy and should be popularized in primary hospitals.
出处
《腹腔镜外科杂志》
2009年第7期542-543,共2页
Journal of Laparoscopic Surgery
