Poole G V
Department of Surgery, University of Mississippi Medical Center, Jackson.
Am Surg. 1993 Sep;59(9):624-5.
The appendix can usually be removed by the standard technique of stump ligation after transection, with or without inversion of the stump into the base of the cecum. When inflammation or necrosis extends into the cecum and the appendix cannot be ligated at its base, there are several options that can be employed. These include appendicocecostomy, partial cecal excision with a stapling instrument, and right colon resection. These techniques have been used 16 times in 249 patients operated upon for appendicitis. Although these techniques will be required infrequently, when they are necessary the risk of appendiceal stump breakdown with peritoneal soilage or cecal fistula can be minimized.
阑尾通常可通过切断后残端结扎的标准技术切除，残端可翻转至盲肠底部，也可不翻转。当炎症或坏死蔓延至盲肠，无法在阑尾根部结扎时，有几种方法可供选择。这些方法包括阑尾盲肠吻合术、用吻合器进行部分盲肠切除以及右半结肠切除术。在249例接受阑尾炎手术的患者中，这些技术共使用了16次。尽管这些技术不常需要，但必要时可将阑尾残端破裂伴腹膜污染或盲肠瘘的风险降至最低。
