经脐单部位双通道腹腔镜手术治疗38例小儿急性阑尾炎

doi:10.6040/j.issn.1671-7554.0.2022.0387

摘要/Abstract

摘要： 目的探讨经脐单部位双通道腹腔镜阑尾切除术治疗小儿急性阑尾炎的可行性。方法回顾性分析2020年7月至2021年7月于山东大学附属儿童医院普外科接受经脐单部位双通道阑尾切除术(n=38)和三孔腹腔镜阑尾切除术(n=56)治疗的94例急性阑尾炎患儿的临床资料, 对经脐单部位双通道阑尾切除术(双通道组)和三孔腹腔镜阑尾切除术(三孔组)术前一般资料、手术技巧及随访效果进行分析、比较。结果在年龄、性别、白细胞数目、进食时间、住院日和术后并发症方面,经脐单部位双通道组与三孔组之间未见明显的统计学差异,在手术时间上,经脐单部位双通道组比三孔组略长;在手术花费上,经脐单部位双通道组较三孔组明显减少(P<0.05)。结论经脐单部位双通道腹腔镜阑尾切除术治疗小儿急性非包裹性阑尾炎是安全可行的,是传统三孔腹腔镜手术的补充及改进,值得临床借鉴、推广、应用。

关键词: 腹腔镜, 阑尾炎, 经脐单部位, 儿童

Abstract: Objective To explore the clinical value of transumbilical single-site double-port laparoscopic appendectomy in the treatment of acute appendicitis in children. Methods Clinical data of 94 children with acute appendicitis who underwent transumbilical single-site double-port laparoscopic appendectomy(n=38)and three-port laparoscopic appendectomy(n=56)during July 2020 and July 2021 were retrospectively analyzed. The preoperative general information, operative skills and outcomes were compared. Results No significant differences were found in age, gender, leukocyte count, liquid diet, length of stay and complications between the two groups. The two-port group had longer operation time but lower costs than the three-port group(P<0.05). Conclusion Transumbilical single-site double-port laparoscopic appendectomy is safe and feasible for pediatric acute appendicitis. Its a supplement and improvement of three-port laparoscopic surgery and can be used widely in clinic.

Key words: Laparoscopy, Appendicitis, Transumbilical single-site, Children

中图分类号:

R726.1

秦虹,张士松,胡元军. 经脐单部位双通道腹腔镜手术治疗38例小儿急性阑尾炎[J]. 山东大学学报 (医学版), 2022, 60(12): 77-81.

QIN Hong, ZHANG Shisong, HU Yuanjun. Transumbilical single-site double-port laparoscopic appendicectomy for 38 cases of pediatric acute appendicitis[J]. Journal of Shandong University (Health Sciences), 2022, 60(12): 77-81.

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