目的 总结荷包包埋阑尾残端在腹腔镜阑尾切除术中的应用体会。方法 回顾分析 2013 年 5 月—2016 年 5月施行128例腹腔镜阑尾切除术术中荷包包埋阑尾残端的经验体会。结果 128 例腹腔镜阑尾切除术残端荷包包埋均获成功,无1例发生继发性损伤及并发症。结论 荷包包埋阑尾残端在腹腔镜阑尾切除术具有优势,不但安全可靠,且不增加患者手术费用,值得推广。
Objective To report the experience of applying purse-string suture in securing the base of appendix in laparoscopic appendectomy.Methods A total of 128 cases who underwent laparoscopic appendectomy assisted by purse-string suture for appendix stump from May 2013 to May 2016 were retrospectively analyzed.Results All 128 surgeries succeeded and no patients got secondary injury or complication.Conclusion Purse-string suture in securing the base of appendix in laparoscopic appendectomy is safe,reliable,and economical,and thus deserves wide application in clinic.
[1] 陆昌友,黄君,郭伟昌,等.无钛夹腹腔镜阑尾切除术150例临床分析[J].腹腔镜外科杂志,2007,12(2):145-146.
[2] 郑永波,贺占青,孟宪涛,等.腹腔镜阑尾切除术105例治疗体会[J].中国内镜杂志,2009,15(8):865- 866.
[3] 杨明川,刘翠.改良三孔法无金属残留常规腹腔镜阑尾切除68例报告[J].腹腔镜外科杂志,2005,10(3):180.
[4] 张宏伟,闫君锋,潘红波,等.腹腔镜三重套扎法处理阑尾根部256例分析[J].腹腔镜外科杂志,2009,14(7):542-543.
[5] 范吉利,黄和邦,商志远.腔内丝线结扎法腹腔镜阑尾切除术临床分析[J].中国内镜杂志,2008,14(12):1294-1295.
[6] 梅京松,何德林,吴丰学,等.腹腔镜阑尾切除术后疼痛原因分析[J].中国内镜杂志,2002,8(8):80-81.
[7] 姚洪.改良腹腔镜阑尾切除术的临床体会[J].腹腔镜外科杂志,2013,18(8):631-633.
[8] 刘杨桦,冯泽荣,黄红艺,等.重度肥胖患者行腹腔镜阑尾切除术的临床体会[J].腹腔镜外科杂志,2013,18(8):628-630.
[9] 徐刚潮,郑周红,陈勇平.复杂阑尾炎的腹腔镜手术及术后处理[J].腹腔镜外科杂志,2014,19(2):141-143.
[10] 梁承友,罗毅,刘顺顺,等.复杂阑尾炎的腹腔镜手术及术后处理[J].中华胃肠外科杂志,2013,16(3):281-282.
