急性阑尾炎腹腔镜手术若干问题探讨
刘东斌 徐大华*
【摘要】 目前腹腔镜阑尾切除术已成为阑尾切除的首选术式，其较开腹手术优势明显。腹腔镜阑尾切除术手术指征不断扩大。阑尾系膜与残端的处理是术中两个关键环节。对于穿孔性阑尾炎，腹腔脓液的处理及引流问题还存在争论。随着微创观念提高及专用手术器械的改进，单孔腹腔镜阑尾切除术临床应用将更加广泛。
【关键词】 腹腔镜阑尾切除术，急性阑尾炎，手术技巧
Discussion on Laparoscopic Appendectomy for Acute Appendicitis, Liu dongbin, Xu Dahua. Xuanwu Hospital, Capital Medical University. Beijing, 100053, China
【Abstract】Currently laparoscopic appendectomy, as preferred choice for appendectomy has obvious advantages compared with open appendectomy. Surgical indications of laparoscopic appendectomy are expanding. Mesoappendix and stump treatment are key points in laparoscopic appendectomy. On perforated appendicitis, treatment and drainage of peritoneal pus still have arguments. With the improvement of the concept of minimal invasion surgery and surgical instruments, clinical application of single port laparoscopic appendectomy will be more extensive.
【key words】Laparoscopic appendectomy; Acute appendicitis; Surgical techniques