急性闌尾炎腹腔鏡手術(shù)若干問(wèn)題探討
急性闌尾炎腹腔鏡手術(shù)若干問(wèn)題探討
劉東斌 徐大華*
【摘要】 目前腹腔鏡闌尾切除術(shù)已成為闌尾切除的首選術(shù)式，其較開腹手術(shù)優(yōu)勢(shì)明顯。腹腔鏡闌尾切除術(shù)手術(shù)指征不斷擴(kuò)大。闌尾系膜與殘端的處理是術(shù)中兩個(gè)關(guān)鍵環(huán)節(jié)。對(duì)于穿孔性闌尾炎，腹腔膿液的處理及引流問(wèn)題還存在爭(zhēng)論。隨著微創(chuàng)觀念提高及專用手術(shù)器械的改進(jìn)，單孔腹腔鏡闌尾切除術(shù)臨床應(yīng)用將更加廣泛。
【關(guān)鍵詞】 腹腔鏡闌尾切除術(shù)，急性闌尾炎，手術(shù)技巧
Discussion on Laparoscopic Appendectomy for Acute Appendicitis, Liu dongbin, Xu Dahua. Xuanwu Hospital, Capital Medical University. Beijing, 100053, China
【Abstract】Currently laparoscopic appendectomy, as preferred choice for appendectomy has obvious advantages compared with open appendectomy. Surgical indications of laparoscopic appendectomy are expanding. Mesoappendix and stump treatment are key points in laparoscopic appendectomy. On perforated appendicitis, treatment and drainage of peritoneal pus still have arguments. With the improvement of the concept of minimal invasion surgery and surgical instruments, clinical application of single port laparoscopic appendectomy will be more extensive.
【key words】Laparoscopic appendectomy; Acute appendicitis; Surgical techniques