[1]胡海涛 赵普.腹腔镜手术治疗阑尾周围脓肿31例[J].中国微创外科杂志,2013,13(11):1049-1051.
　Hu Haitao,Zhao Pu..Laparoscopic Surgery in the Treatment of Periappendicural Abscess: a Report of 31 Cases[J].Chinese Journal of Minimally Invasive Surgery,2013,13(11):1049-1051.
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腹腔镜手术治疗阑尾周围脓肿31例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
13
期数:
2013年11期
页码:
1049-1051
栏目:
短篇论著
出版日期:
2013-11-20

文章信息/Info

Title:
Laparoscopic Surgery in the Treatment of Periappendicural Abscess: a Report of 31 Cases
作者:
胡海涛 赵普
广州新海医院普外科，广州510300
Author(s):
Hu Haitao;  Zhao Pu.
Department of General Surgery, Xinhai Hospital of Guangzhou, Guangzhou 510300,China
关键词:
腹腔镜; 阑尾周围脓肿; 阑尾切除术
Keywords:
Laparoscope; Periappendicural abscess; Appendectomy
分类号:
R656.8
文献标志码:
A
摘要:
目的探讨腹腔镜阑尾周围脓肿清除联合阑尾切除术的可行性。方法2010年3月~2012年12月行腹腔镜阑尾周围脓肿清除联合阑尾切除术治疗阑尾周围脓肿31例，腹腔镜下腹腔探查，清除脓肿，寻找阑尾，处理阑尾残端。结果31例均行脓肿清除联合阑尾切除，无中转开腹。手术时间40～120 min,平均55 min。无出血、肠漏、切口感染、门静脉炎等并发症发生。病理结果均为急性坏疽性阑尾炎。术后7~12 d出院。31例随访6个月，无残端炎、腹痛发生。结论腹腔镜阑尾周围脓肿清除联合阑尾切除术治疗阑尾周围脓肿技术可行。
Abstract:
ObjectiveTo explore the feasibility of laparoscopic clearance of periappendiceal abscess and appendectomy.MethodsA total of 31 patients with periappendicural abscess underwent laparoscopic clearance of periappendiceal abscess and appendectomy. After abdominal exploration, abscess was cleared and appendiceal stump was handled under laparoscope.ResultsAll the 31 cases went through clearance of periappendiceal abscess combined with appendectomy successfully, without conversion to open surgery. Operation time was 40-120 min(mean, 55 min). No bleeding, intestinal fistula, incision infection, portal vein thrombosis or other complications occurred. Pathological results showed all cases were acute gangrenous appendicitis. All the patients were discharged from hospital 7-12 d postoperatively. The 31 cases were followed up for 6 months, and no stump inflammation or abdominal pain was found.ConclusionLaparoscopic clearance of periappendiceal abscess combined with appendectomy in the treatment of appendiceal abscess is feasible.

参考文献/References:

[1]吴孟超，吴在德，主编.黄家驷外科学.第7版.北京:人民卫生出版社,2008.1577-1578.
[2]吴延立，江瑞范，李瑞亭.阑尾周围脓肿外科治疗的体会.局解手术学杂志,2009,18（1）：37.
[3]吴孟超，吴在德.黄家驷外科学.第7版.北京:人民卫生出版社,2008.1571.
[4]董新争，史录琴.阑尾切除术后肠瘘6例临床资料分析.甘肃医药,2013,32（1）:65-66.
[5]伍家发.腹腔镜阑尾切除术系膜及残端处理技巧.广西医科大学学报,2009,26（5）:791-792.
[6]李幼沈，黎介寿.再论术后早期炎性肠梗阻.中国实用外科杂志，2006,26（1）：38-39.
[7]李贵全.阑尾周围脓肿不同治疗方法的临床对比研究（附423例临床病例）.中国社区医师，2012,14（13）:93.
[8]黄奕江，龚兵，侯金华，等.腹腔镜结合小切口手术处理急性复杂性穿孔阑尾炎.中国微创外科杂志，2011,11（8）:754-755.
[9]陆涛，浦涧，汪建初，等.腹腔镜治疗阑尾周围脓肿临床探讨.中华腔镜外科杂志（电子版），2008,1（1）:60-64.

更新日期/Last Update: 2014-11-04