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腹腔镜阑尾切除术的基本原则。

Basic principles of laparoscopic appendectomy.

作者信息

Delibegović Samir

机构信息

Department of Surgery, University Clinic Center Tuzla.

出版信息

Med Pregl. 2012 Sep-Oct;65(9-10):383-7.

Abstract

INTRODUCTION

Laparoscopic appendectomy is one of the simplest laparoscopic procedures, which is gradually becoming the method of choice in treatment of acute appendicitis due to its advantages over open appendectomy. In South-Eastern Europe the use of laparoscopic appendectomy is still very limited although it is a very simple procedure, suitable for training laparoscopic techniques. Technique of Laparoscopic Appendectomy. This review article describes the position of the patient and surgical team during laparoscopic appendectomy, position of troacars and working instruments which result in expressive cosmetic effect, technique of laparoscopic appendectomy, different ways of securing the base of appendix. Complications of Laparoscopic Appendectomy. This review article describes management of complicated appendicitis, and intra- and post-operative complications.

CONCLUSION

Laparoscopic appendectomy has many advantages over open appendectomy. The risk of wound infection is lower, postoperative pain is weaker and the hospital stay is shorter.

摘要

引言

腹腔镜阑尾切除术是最简单的腹腔镜手术之一,由于其相对于开腹阑尾切除术的优势,它正逐渐成为治疗急性阑尾炎的首选方法。在东南欧,尽管腹腔镜阑尾切除术是一种非常简单的手术,适合用于腹腔镜技术培训,但该手术的应用仍然非常有限。腹腔镜阑尾切除术技术。这篇综述文章描述了腹腔镜阑尾切除术过程中患者和手术团队的体位、套管针和操作器械的位置(这些会带来显著的美容效果)、腹腔镜阑尾切除术技术以及固定阑尾根部的不同方法。腹腔镜阑尾切除术的并发症。这篇综述文章描述了复杂性阑尾炎的处理以及术中及术后并发症。

结论

腹腔镜阑尾切除术相对于开腹阑尾切除术有许多优势。伤口感染风险更低,术后疼痛更轻,住院时间更短。

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