单切口腹腔镜手术治疗小儿急性阑尾炎：在儿科患者中的可行性
Single incision laparoscopic surgery for acute appendicitis: feasibility in pediatric patients.
作者信息
Chow Andre, Aziz Omer, Purkayastha Sanjay, Darzi Ara, Paraskeva Paraskevas
机构信息
Division of Surgery, Imperial College London, St Mary's Hospital Campus, Praed Street, London W2 1NY, UK.
出版信息
Diagn Ther Endosc. 2010;2010:294958. doi: 10.1155/2010/294958. Epub 2010 Feb 4.
Background. Laparoscopic appendicectomy is accepted by many as the gold standard approach for the treatment of acute appendicitis. The use of Single Incision Laparoscopic Surgery (SILS) has the potential of further reducing postoperative port site complications as well as improving cosmesis and patient satisfaction. Method. In this paper we report our experience and assess the feasibility of SILS appendicectomy in the pediatric setting. Results. Five pediatric patients with uncomplicated appendicitis underwent SILS appendicectomy. There were no significant intraoperative or postoperative complications. All patients were discharged within 24 hours. Conclusions. The use of Single Incision Laparoscopic Surgery appears to be a feasible and safe technique for the treatment of uncomplicated appendicitis in the pediatric setting. Further studies are warranted to fully investigate the potential advantages of this new technique.
背景。腹腔镜阑尾切除术被许多人视为治疗急性阑尾炎的金标准方法。单切口腹腔镜手术（SILS）的应用有可能进一步减少术后切口部位并发症，并改善美观效果和患者满意度。方法。在本文中，我们报告了我们的经验，并评估了SILS阑尾切除术在儿科患者中的可行性。结果。五例患有单纯性阑尾炎的儿科患者接受了SILS阑尾切除术。术中及术后均无明显并发症。所有患者均在24小时内出院。结论。单切口腹腔镜手术似乎是治疗儿科患者单纯性阑尾炎的一种可行且安全的技术。有必要进行进一步研究以全面探究这项新技术的潜在优势。
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