General Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt,
Surg Endosc. 2014 Jul;28(7):2086-9. doi: 10.1007/s00464-014-3436-7. Epub 2014 Feb 11.
Acute appendicitis is the most frequent abdominal disease and requires urgent surgery. At the present time, laparoscopic appendectomy is a well-accepted emergency procedure at most centers. In this study, we used a new spiral needle to facilitate the procedure, making it easy, minimally invasive, and cost effective.
The study included 70 patients of both sexes with acute appendicitis that was treated by laparoscopic appendectomy using a new spiral needle. These cases were treated at the General Surgery Department, Zagazig University, Egypt, from May 2012 to August 2013. In the procedure we used only two ports (a 10-mm port directly below the umbilicus for the camera and a 5-mm port at the left iliac fossa at the midclavicular line). The new spiral needle was used to hold the appendix during the procedure and was inserted into the right iliac fossa depending on the site of the appendix.
The mean age of the patients was 27.3 years, mean operative time was 40 min, and mean hospital stay was 1.3 days. Ten patients (14%) had minimal bleeding at the site of needle passage into the mesoappendix. Wound infection at the site of umbilical port occurred in four patients (5.7%) postoperatively.
Laparoscopic appendectomy using our new spiral needle is easy, minimally invasive, and cost effective.
急性阑尾炎是最常见的腹部疾病，需要紧急手术。目前，腹腔镜阑尾切除术在大多数中心已被广泛接受为一种急诊手术。在本研究中，我们使用一种新型的螺旋针来辅助手术，使手术变得简单、微创且具有成本效益。
本研究纳入了 70 例男女急性阑尾炎患者，这些患者均采用新型螺旋针行腹腔镜阑尾切除术进行治疗。这些病例于 2012 年 5 月至 2013 年 8 月在埃及扎加齐克大学普外科进行治疗。在手术过程中，我们仅使用两个端口（一个 10mm 的端口直接位于脐下用于放置摄像头，另一个 5mm 的端口位于中线左侧髂嵴处）。新型螺旋针用于在手术过程中固定阑尾，并根据阑尾的位置插入右髂窝。
患者的平均年龄为 27.3 岁，平均手术时间为 40 分钟，平均住院时间为 1.3 天。10 名患者（14%）在经系膜阑尾针道处有轻微出血。术后有 4 名患者（5.7%）在脐部端口处发生伤口感染。
使用我们的新型螺旋针行腹腔镜阑尾切除术操作简单、微创且具有成本效益。
