摘要
目的探讨腹腔镜阑尾切除手术方法改良的临床效果和意义。方法在30例腹腔镜阑尾切除术中使用全电凝法处理阑尾系膜,在20例单孔腹腔镜阑尾切除术中应用阑尾悬吊法操作。将以上手术的结果、并发症、中转开腹率和手术时间与同期施行的40例常规法腹腔镜阑尾切除术进行比较。结果常规方法组和改良方法组均治疗结果良好,无并发症发生,改良方法组中转开腹率(2.4%)与常规方法组(2.5%)相同,改良方法组手术时间([40.73±12.48)min]比常规方法组([47.04±14.60)min]明显缩短,P<0.05。结论腹腔镜阑尾切除方法的改良可在保证疗效和安全的前提下简化操作,缩短手术时间,降低麻醉费用,扩大术式适用范围,更加突出腹腔镜手术的微创优势。
【Objective】To investigate the clinical significance and efficacy of modified laparoscopic appendectomy. 【Methods】Mesenteriolum appendicis vermiformis were treated through total electric coagulation in 30 cases. Suspension of appendix with needle and thread was used in 20 cases of one-channel laparoscopic appendectomy. 40 cases of laparoscopic appendectomy were accomplished through classic methods （with three channels or two chan-nels）. The therapeutic results including complications,ratio of alteration to open procedure and time consuming were compared between the classic method group and the improved method group. 【Results】All the cases in the two groups were cured well. And no any complication occurred in these two groups. The improved method group has the same ratio of alteration to open procedure （2.4%） as that of the classic method group （2.5%）. The time consuming of the improved method group was less than that of the classic method group [（40.73±12.48） min] vs [（47.04±14.60） min],P 0.05. 【Conclusion】The improvements of the laparoscopic appendectomy from our experience would simplify the operation and reduce the time consuming without affecting the therapeutic result and safety. The anesthesia time consuming would be reduced also. Laparoscopic appendectomy would be more feasible to more cases with these improvements. All these make the mini-invasive character of laparoscopic operations much more highlighted.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第8期794-796,799,共4页
China Journal of Endoscopy
关键词
腹腔镜
阑尾切除术
方法改良
laparoscopy
appendectomy
handling improvements
