王存川 陈鋆 许朋 徐以浩 510630 广州,暨南大学医学院第一附属医院腹腔镜外科 中华消化内镜杂志 1999 0 16 5


    关键词：阑尾炎；阑尾切除术 期刊 zhxhnjzz 0 论 著 fur -->


    

摘要 目的 探讨扩大腹腔镜外科手术的适应证范围。方法 患急性阑尾炎的孕妇3例(妊娠2.5～6.5个月)，老年患者12例(60～70岁)，年幼患者5例(11～15岁)，胆囊旁阑尾2例，盆腔位阑尾4例，蛔虫性阑尾炎1例，作了腹腔镜阑尾切除术。结果 25例均成功完成手术，手术时间平均30.5分钟。1例患者术中漏诊直肠上段癌，术后6天确诊。并发戳口感染1例。结论 腹腔镜阑尾切除术具有创伤小、恢复快及瘢痕小等优点，对孕妇、老年人、小儿、异位阑尾及蛔虫性等特殊类型的阑尾炎，也能体现其优点，值得进一步探索。

    

Laparoscopic appendectomy for special cases

WANG Cunchuan, CHEN Jun, XU Peng, et al. Department of laparoscopic Surgery, The First Affiliated Hospital of Medical College, Jinan University, Guangzhou 510630

Abstract Objective Extention in scope of indications for laparoscopy was explored.Methods Laparoscopic appendectomies were performed smoothly in women with pregnancy of 2.5～6.5 months, n=3; in the aged of 60～70 years, n=12; in the young of 11～15 years of age, n=5 and in dislocated appendices as to right upper quadrant, n=2; or into pelvis , n=4 ......

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