[1]金哲俊,梁海超,赵永庆,等.适于基层医院开展的改良腹腔镜阑尾切除术（附390例报告）[J].中国微创外科杂志,2012,12(7):621-623.
　Jin Zhejun,Liang Haichao,Zhao Yongqing,et al.Modified Laparoscopic Appendectomy in Primary Hospital: Report of 390 Cases[J].Chinese Journal of Minimally Invasive Surgery,2012,12(7):621-623.
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适于基层医院开展的改良腹腔镜阑尾切除术（附390例报告）()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
12
期数:
2012年7期
页码:
621-623
栏目:
出版日期:
2012-07-20

文章信息/Info

Title:
Modified Laparoscopic Appendectomy in Primary Hospital: Report of 390 Cases
作者:
金哲俊; 梁海超; 赵永庆; 郭吉庆; 李斌; 李智博; 于景尧; 杨姝; 陈德兴
吉林省通化市人民医院普通微创外科，通化134001
Author(s):
Jin Zhejun;  Liang Haichao;  Zhao Yongqing;  et al. Tonghua People’s Hospital;  Tonghua 134001;  China
Tonghua People’s Hospital, Tonghua 134001, China
关键词:
腹腔镜阑尾切除术; 急性阑尾炎
Keywords:
Laparoscopic appendectomy; Acute appendicitis
分类号:
R656.8
文献标志码:
A
摘要:
目的探讨适于基层医院开展的改良腹腔镜阑尾切除术（laparoscopic appendectomy，LA）的应用技术。方法2009年12月~2012年1月采用适宜的麻醉方式、规范化三孔法操作、阑尾系膜单极电凝、自制简易圈套器结扎阑尾根部、自制标本袋阑尾取出等改良的LA技术操作，行LA 390例。结果390例均成功完成LA，无一例中转开腹。手术时间15~120 min，平均30 min。术后病理：急性单纯性阑尾炎102例，急性化脓性阑尾炎199例，慢性阑尾炎58例，穿孔坏疽性阑尾炎25例，阑尾周围脓肿6例。异位阑尾16例：肝下2例，盲肠壁内3例，腹膜后位8例，盆腔低位3例；微型短小阑尾1例。390例术后随访2~24个月，平均6个月，无出血、肠瘘、肠粘连梗阻等并发症。结论改良的LA适于基层医院开展。
Abstract:
ObjectiveTo study a modified laparoscopic appendectomy (LA) that is applicable in primary hospitals.MethodsFrom December 2009 to January 2012, we performed modified LA on totally 390 patients. With appropriate anesthesia, standardized threeport laparoscopy and monopolar coagulation of the mesoappendix was made, and then with the appendix been ligated at the root with a selfmade snare, we removed the appendix. ResultsThe procedure was completed in all the patients without conversion to open surgery. The operation time was 30 in average (15-120 min). Postoperative pathological examination showed acute simple appendicitis in 102 of the patients, acute suppurative appendicitis in 199, chronic appendicitis in 58, perforated gangrenous appendicitis in 25, and periappendiceal abscess in 6. Ectopic appendix was revealed in 16 cases,among which the appendix was found in subhepatic area in 2, within the cecal wall in 3, in the retroperitoneal space in 8, and the lower pelvis in 3, the rest one patient had mini appendix. The patients were followed up for 2 to 24 months with a mean of 6 months, during which no hemorrhage, intestinal fistula or intestinal adhesive obstruction occurred. ConclusionModified LA is applicable in primary hospital.

参考文献/References:

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备注/Memo

备注/Memo:
吉林省卫生厅2009年科研立项(编号：2009ZC013) 陈德兴通讯作者，吉林省前卫医院普外科，长春130012，Email：jlchendexing@163.com
更新日期/Last Update: 2013-04-03