摘要
目的:研究应用单双极电凝法行腹腔镜阑尾切除术的可行性和安全性。方法:48例阑尾炎患者均采用单双极电凝法行腹腔镜阑尾切除术,用双极电凝和剪刀处理阑尾动脉和系膜,用单极电钩分离粘连并切开阑尾根部浆膜层,钛夹或缝线处理阑尾根部后切除阑尾。结果:48例手术均获成功,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3.5d,均痊愈出院。结论:用单双极电凝法行腹腔镜阑尾切除术安全、可行、经济实用,易在基层医院大力推广。
Objective：To study the feasibility and safety of the application of monopolar and bipolar electrocoagulation in the laparoscopic appendectomy（LA）. Methods：Forty-eight patients who suffered from appendicitis underwent LA with the monopolar and bipolar electrocoagulation.Appendix artery and mesoappendix were treated with bipolar electrocoagulation and scissors,the adhesion and placenta percreta layer in the root of appendix was isolated and cut with monopolar electrical hook,the root of appendix was dealt with Titanium clip or suture before appendix was cut. Results：All operations were successfully performed,no complications such as stump fecal leakage or stump abscess occurred.The mean postoperative hospital stay was 3.5d. Conclusions：The monopolar and bipolar electrocoagulation in LA is a workable,secure,economical and practical method,which is worth generalization in primary hospital.
出处
《腹腔镜外科杂志》
2011年第3期220-221,共2页
Journal of Laparoscopic Surgery
