[1]俞清江 陈帅﹡ 周鸿鲲.传统腹腔镜器械行单切口腹腔镜阑尾切除术52例报告[J].中国微创外科杂志,2016,16(05):468-469.
　Yu Qingjiang,Chen Shuai,Zhou Hongkun..Single-incision Laparoscopic Appendectomy by Using Conventional Laparoscopic Instruments: Report of 52 Cases[J].Chinese Journal of Minimally Invasive Surgery,2016,16(05):468-469.
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传统腹腔镜器械行单切口腹腔镜阑尾切除术52例报告()

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
16
期数:
2016年05期
页码:
468-469
栏目:
经验交流
出版日期:
2016-08-17

文章信息/Info

Title:
Single-incision Laparoscopic Appendectomy by Using Conventional Laparoscopic Instruments: Report of 52 Cases
作者:
俞清江 陈帅﹡ 周鸿鲲
（浙江省嘉兴市第一医院普外科，嘉兴314000）
Author(s):
Yu Qingjiang;  Chen Shuai;  Zhou Hongkun.
Department of General Surgery, First Hospital of Jiaxing, Jiaxing 314000, China
关键词:
阑尾切除术; 腹腔镜; 单切口
Keywords:
Appendectomy; Laparoscopy; Single incision
文献标志码:
B
摘要:
目的探讨使用传统腹腔镜器械行单切口腹腔镜阑尾切除术的可行性、安全性及其美容效果。方法回顾性分析我院2013年1月~2014年5月使用传统腹腔镜器械行单切口腹腔镜阑尾切除术52例临床资料。脐上缘2 cm弧形切口置入3枚5 mm trocar完成手术。结果52例手术均获成功，无中转常规腹腔镜手术或开腹，手术时间30~90 min，（43±7）min，术后住院时间1~7 d，（2.5±0.5）d。术后随访1~3个月，无手术并发症发生，切口隐蔽。结论使用传统腹腔镜器械行单切口腹腔镜阑尾切除术可行，安全，并且美容效果好。
Abstract:
ObjectiveTo evaluate the feasibility, safety, and cosmetic results of single-incision laparoscopic appendectomy by using conventional instruments.MethodsFrom January 2013 to May 2014, clinical data of 52 patients undergoing single-incision laparoscopic appendectomy in our hospital were retrospectively analyzed. The appendectomy was performed by using conventional instruments through three 5-mm trocars via a 2-cm curved incision above the umbilical margin. ResultsThe single-incision laparoscopic appendectomy was successfully completed in all the 52 cases without conversion to conventional laparoscopic or open surgery. The mean operative time was 43±7 min (range, 30-90 min). The average postoperative hospital stay was 2.5±0.5 days (range, 1-7 days). During follow-up visits for 1-3 months, there were no postoperative complications.The scars were not obvious in all the patients.ConclusionLaparoscopic appendectomy can be achieved through a single incision by using conventional instruments. This approach is feasible, safe, and concealing.

参考文献/References:

[1]孟凡强,宁武,牛晋卫,等.经脐单孔腹腔镜阑尾切除术治疗慢性阑尾炎58例.中华普通外科杂志,2013,28（6）:421-42.
[2]张朝坤,吴硕东,苏洋.经脐单孔腹腔镜阑尾切除术80例分析.中国内镜杂志,2013,19(10):1072-1074.
[3]Chiu CG,Nguyen NH,Bloom SW.Single-incision laparoscopic appendectomy using conventional instruments: an initial experience using a novel technique.Surg Endosc,2011,25(4):1153-1159.
[4]方锡明,罗健,陈旭辉,等.经脐单孔腹腔镜辅助阑尾切除术773例.中国微创外科杂志，2015，15（6）：531-532.
[5]周煦,方东,撒忠秋,等.经脐单一切口腹腔镜阑尾切除术131例分析.中国微创外科杂志，2014，14（2）：121-123.

备注/Memo

备注/Memo:
﹡通讯作者，E-mail：mercilove@foxmail.com
更新日期/Last Update: 2016-08-17