【摘要】 目的探讨腹膜后阑尾炎的诊断及腹腔镜治疗。方法回顾性分析32例腹膜后阑尾炎患者的诊断和治疗,术前尽量明确诊断后施行腹腔镜阑尾切除术。结果 32例患者术前明确诊断26例;腹腔镜手术无中转开腹;平均手术时间62min;病理证实急性单纯性阑尾炎25例,化脓性阑尾炎5例,坏疽性阑尾炎2例;均一期愈合,术后无切口感染,无粪漏,无腹腔、盆腔脓肿发生;平均住院时间6d。结论结合认真的查体和必要的辅助检查可提高术前诊断率;腹腔镜下腹膜后阑尾切除术是有效的治疗方案。更多还原

【Abstract】 Objective To study the diagnosis and laparoscopic treatment of retroperitoneal appendicitis.Methods Thirty-two patients with retroperitoneal appendicitis underwent laparoscopic appendectomy were reviewed retrospectively.We tried to establish preoperative diagnosis,than perform laparoscopic appendectomy.Results Twenty-six patients were diagnosed retroperitoneal appendicitis preoperatively.There was no conversion to laparotomy;The mean operation time was 62 minutes.Final pathological examination indicated 25 cases of acute simple appendicitis,5 cases of acute suppurative appendicitis and 2 cases of acute gangrenous appendicitis.All incisions were primary healing without infection.No fecal fistula and abdominal or pelvic abscess were developed.The average hospital stay was six days.Conclusion Combination of careful physical examinations with essential accessory examinations may improve preoperative diagnostic rate.Laparoscopic appendectomy for retroperitoneal appendicitis is an effective treatment.更多还原