Department of General Surgery, Changhua Christian Hospital, Taiwan.
Int J Surg. 2010;8(2):140-3. doi: 10.1016/j.ijsu.2009.11.013. Epub 2009 Dec 11.
Many authors emphasize the advantages of laparoscopic techniques in their experience, including the excellent cosmetic results, reduced postoperative pain, rapid functional recovery, lower incidence of adhesions, wound infections and believe that laparoscopic appendectomy is a reliable operation for treating acute appendicitis. Laparoscopic appendectomy has become a standard procedure in the treatment of acute appendicitis in our department since it was introduced in 2003. There are 414 patients underwent laparoscopic appendectomy and 37 patients underwent open appendectomy in our department in 2008. More than 2000 laparoscopic appendectomies were performed in our department during 2003-2009. However, open appendectomy is still the standard procedure in many Taiwan and worldwide hospitals. One of the reasons is that the operating costs incurred for laparoscopic appendectomy are higher than that of open appendectomy. We describe, herein, an access technique utilizing existing instrumentation that is reliable and easy.
许多作者在他们的经验中强调了腹腔镜技术的优势，包括出色的美容效果、术后疼痛减轻、功能恢复迅速、粘连发生率较低、伤口感染率较低，并认为腹腔镜阑尾切除术是治疗急性阑尾炎的可靠手术。自 2003 年引入以来，腹腔镜阑尾切除术已成为我科治疗急性阑尾炎的标准手术。我科 2008 年行腹腔镜阑尾切除术 414 例，开腹阑尾切除术 37 例。2003-2009 年我科共行腹腔镜阑尾切除术 2000 余例。然而，在许多台湾和世界范围内的医院，开腹阑尾切除术仍然是标准手术。原因之一是腹腔镜阑尾切除术的手术成本高于开腹阑尾切除术。我们在此描述了一种利用现有器械的可靠且简单的进入技术。
