Cristalli B, Cayol A, Izard V, Levardon M
Service de Chirurgie gynécologique et Obstétrique, Hôpital Beaujon, Clichy.
J Chir (Paris). 1991 Jun-Jul;128(6-7):302-5.
The diagnostic and therapeutic value of laparoscopic surgery is known for ovarian cysts and ectopic pregnancies. The diagnostic of appendicitis is difficult and laparoscopy is useful. The aim of this study is to assess the feasibility, the efficacy and the advantages of a new technique of laparoscopic appendectomy. From August 1, 1989 to July 31, 1990 the women seen for pelvic pain have been divided in three groups: appendicitis, pelvic inflammatory disease (PID) and doubt. Intra peritoneal appendectomy has been performed if the laparoscopic diagnosis was not PID. Via three supra symphyseal trocars the appendix has been exposed and his meso coagulated. The appendix stump has been closed with a clip applicator (Ethnor T1300). Thirty-one women have been involved in this study. Twenty women had a laparoscopic appendectomy. Mean operation time was 36 minutes. In no occasion laparotomy was necessary. There was no post-operative complication and stool was obtained on the second post operative day. Patients and nurses appreciation was excellent. This operative procedure was possible in each attempt. This technique is sure, quick and easily reproducible. Comfortable post operative period and esthetic advantage have been noticed by the women. This operation has been possible in each attempt. This technique is sure, quick and easily reproducible.
腹腔镜手术对卵巢囊肿和异位妊娠的诊断及治疗价值已为人所知。阑尾炎的诊断较为困难，而腹腔镜检查很有用。本研究的目的是评估一种新型腹腔镜阑尾切除术的可行性、有效性及优势。1989年8月1日至1990年7月31日期间，因盆腔疼痛就诊的女性被分为三组：阑尾炎组、盆腔炎（PID）组和疑似组。如果腹腔镜诊断不是PID，则进行腹腔内阑尾切除术。通过耻骨联合上方的三个套管针暴露阑尾，并凝固其系膜。阑尾残端用施夹器（Ethnor T1300）夹闭。31名女性参与了本研究。20名女性接受了腹腔镜阑尾切除术。平均手术时间为36分钟。无一例需要开腹手术。无术后并发症，术后第二天恢复排便。患者和护士的评价都很好。每次尝试该手术操作均可行。这项技术可靠、快速且易于重复。女性患者术后恢复舒适，且该手术具有美观优势。每次尝试该手术均可行。这项技术可靠、快速且易于重复。
