改良经脐单孔腹腔镜阑尾切除术的临床应用

摘要

Objective:To evaluate the clinical value of modified single-port transumbilical laparoscopic appendectmy. Methods; From Jan. 2010 to May 2012,39 patients with appendicitis were treated with modified single-port transumbilical laparoscopic appendectomy at our hospital. Clinical data of these patients were analyzed retrospectively. During the operation,a 15 mm umbilical incision was made to place a 10 mm 30?laparoscope and an 3-mm operating clamp with common veress needle. Results ;The operation was completed successfully in all cases without conversion to open surgery or other. Average operative time was (30 ?. 6) min. Average length of postoperative hospital stay was (4 ?1. 5 ) days. Follow-up was achieved in 39 cases for 1 -29 months. No incisional infection or recurrent right lower abdominal pain occurred. Conclusions; Modified Single-port transumbilical laparoscopic appendectmy was feasible, safe, and less invasive. It was associated with faster recovery, better cosmetic results and low cost of hospitalization.%目的:探讨改良经脐单孔腹腔镜阑尾切除术的手术方法及临床价值.方法:2010年1月至2012年5月为39例阑尾炎患者行改良经脐单孔腹腔镜阑尾切除术.脐部做15 mm切口,置入10 mm 30度腹腔镜,再锐性置入1把3 mm操作钳,并联合应用临床常用气腹针.结果:39例手术均获成功,无一例中转开腹或常规腹腔镜手术.手术时间平均(30±5.6)min,平均住院(4±1.5)d.术后随访1～ 29个月,无切口感染、再发右下腹痛等并发症发生.结论:改良经脐单孔腹腔镜阑尾切除术操作方便、可行,具有疗效确切、患者创伤小、康复快、美容效果好、住院费用低等优点,适合临床推广应用.