Ma Puneng,Bai Qiang,Li Yadong,et al.Clinical application of two-hole umbilical laparoscopy for non-complex appendicitis[J].Journal of Clinical Pediatric Surgery,,20():857-860.[doi:10.12260/lcxewkzz.2021.09.011]
Clinical application of two-hole umbilical laparoscopy for non-complex appendicitis
- Keywords:
- Appendicitis/SU; Appendicitis/CO; Laparoscopy; Treatment Outcome
- CLC:
- R656.8;R726.1
- Abstract:
- Objective To explore the clinical feasibility and application value of two-hole umbilical laparoscopy for non-complex appendicitis.Methods From August 2018 to July 2019, 47 children were diagnosed as non-complex appendicitis.The laparoscopic locations of appendix were anterior cecum, non-subserosal and non-perforated.Only one operative hole was created at the lower margin of umbilicus and sew 2-0 mousse thread guided with a needle into right lower abdomen for overhanging appendix simultaneously.Whether or not appendix could be removed successfully, conversion into open operation, intraoperative injury, operative duration and intraoperative volume of blood loss were adopted as the evaluation criteria of feasibility.And hospitalization stay and postoperative abdominal aesthetics were selected as the evaluation criteria of clinical value.Results All operations were successful.No operative hole was added and there was no conversion into laparotomy.Operation duration was (48.6±7.5) min and intraoperative volume of blood loss (5.9±2.5) ml.There was no injury of intestine, blood vessel, ureter or other tissues.None of them developed surgical infection.Blood analysis and abdominal ultrasound showed no abnormalities at discharge.The hospital stay was (4.2±0.7) days.The surgical incision <1 cm was only limited to umbilicus.Conclusion For non-complex appendicitis, two-hole laparoscopic appendectomy through umbilicus is safe, feasible and efficacious.Compared with other surgical approaches, such a method is mini-invasive and more aesthetic.Wider clinical applications are worthwhile.
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Memo
收稿日期:2019-10-30。
基金项目:云南省卫生科技计划资助项目（编号：2017NS110）
通讯作者:白强,Email:576967639@qq.com