【摘要】 目的:总结腹腔镜手术治疗化脓性、坏疽性阑尾炎的临床经验。方法:回顾分析为96例化脓性、坏疽性阑尾炎患者行腹腔镜手术的临床资料。结果:96例手术均获成功,无一例中转开腹。手术时间平均36 min,术后12 h可下床活动,肛门第一次排气时间平均17 h,平均住院4 d。术后无一例发生切口感染及腹腔脓肿。结论:腹腔镜手术治疗化脓性、坏疽性阑尾炎具有患者创伤小、术后康复快、并发症少、住院时间短等优势,是安全可行的。更多还原

【Abstract】 Objective:To sum up the experience of laparoscopic appendectomy(LA) for purulent and gangrenous appendicitis.Methods:A retrospective review of 96 patients who underwent LA for purulent and gangrenous appendicitis was undertaken.Results:LA was conducted successfully in all 96 patients with no conversion to laparotomy.The mean operative duration was 36 min.Patients could do offbed activities within 12 h after operation.The mean aerofluxus time 17 h postoperatively.The mean hospital stay was 4 d.There was no trocar site infection and abdominal abscess.Conclusions:LA for purulent and gangrenous appendicitis is a feasible and safe procedure with less trauma,quicker recovery,fewer morbidities,shorter hospital stay.更多还原