Graur F, Elisei R, Al-Hajjar N
University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Chirurgia (Bucur). 2013 Jul-Aug;108(4):571-5.
We present a case of laparoscopic transumbilical single incision appendectomy. A 17-year-old patient with an insidious onset of symptoms 4 months ago by diffuse abdominal pain that later was localized in the right iliac fossa accompanied by loss of appetite, nausea and vomiting. Following clinical examination and abdominal ultrasound, she was diagnosed with chronic appendicitis and surgical treatment was recommended. Pneumoperitoneum was performed under general anesthesia. Three trocars of 5 mm diameter were inserted through a single umbilical incision of 10 mm length into the peritoneal cavity. The exploration has revealed a swollen appendix. After transsection of the mesoappendix with LigaSure forceps, two Roeder knots were placed at on the base of the appendix. Intervention duration was 60 minutes. Postoperative course was favorable. Patient assessment within 2 months after discharge showed disappearance of symptoms and the postoperative scar hidden in the umbilical scar.
我们呈现一例腹腔镜经脐单切口阑尾切除术病例。一名17岁患者，4个月前隐匿起病，起初为弥漫性腹痛，随后局限于右下腹，并伴有食欲不振、恶心和呕吐。经过临床检查和腹部超声检查，她被诊断为慢性阑尾炎，并建议进行手术治疗。在全身麻醉下建立气腹。通过一个10毫米长的脐单一切口插入三个直径5毫米的套管针进入腹腔。探查发现阑尾肿胀。用LigaSure钳切断阑尾系膜后，在阑尾根部放置两个Roeder结。手术持续时间为60分钟。术后病程顺利。出院后2个月内的患者评估显示症状消失，术后疤痕隐藏在脐部疤痕中。
