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題 名 | Technical Modifications to Specimen Retrieval of Laparoscopic Appendectomy: Experience of 1,544 Patients=腹腔鏡闌尾切除手術標本取出之技巧:1,544位病人之經驗 |
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作 者 | 趙頌慈; 黃銘德; 魏柏立; 陳太其; 李威傑; 李宜致; 王偉; | 書刊名 | Medical Journal of South Taiwan |
卷 期 | 1:2 民95.12 |
頁 次 | 頁79-83 |
分類號 | 416.243 |
關鍵詞 | 腹腔鏡闌尾切除手術; 手術技巧; 標本取出; Laparoscopic appendectomy; Technique; Specimen retrieval; |
語 文 | 英文(English) |
中文摘要 | 目的:腹腔鏡闌尾切除手術現今已是相當普遍的一種手術,對有經驗的醫師而言,幾乎所有發炎程度的闌尾都可以在安全且快速的情形下被摘除。然而對於複雜的闌尾標本(如壞死或穿孔)在處理上有著一定程度的挑戰性,本文在於探討如何去避免和減少術後傷口感染以及腹內膿瘍的情形。材料與方法:自1998年1月到2003年12月期間我們共進行了1,544例腹腔鏡闌尾切除手術。手術中我們嘗試以特別的技巧以減少污染的可能。結果:這1,544位病患術後傷口感染(1.62%, 25/1,544)以及殘餘腹內膿瘍(0.26%, 4/1,544)有明顯較低的發生率。結論:我們的結果證實:儘管是壞死、穿孔的闌尾標本、甚至術前已腹內膿瘍的絕大部分的病例中,我們仍然可以用一支10毫米及兩支3毫米的套管來完成腹腔鏡闌尾切除手術。同時,這些技巧是簡單、安全且便宜。 |
英文摘要 | Objective: Laparoscopic appendectomy is a widespread operation nowadays. As an experienced surgeon, this technique could be managed under a safe and rapid process in almost all types of acute appendicitis. However, it is a challenge to surgeons in cases of appendicitis with gangrenous change and even perforation. gangrenous change and even perforation. The aim of this report is to discuss how to The aim of this report is to discuss how to intraabdominal abscess.Methods: From January 1998 to December 2003 we performed 1,544 laparoscopic appendectomies. Here in, we de-scribe a special technique of specimen retrieval capable of preventing contamination during laparoscopic appendectomy procedure.Results: Of these 1,544 patients, there were significant lower incidences of wound infection (1.62%, 25/1,544) and residual intraabdominal abscess (0.26%, 4/1,544).Conclusion: Our results suggested that these techniques permit completion of laparoscopic appendectomy with a single 10-mm and two 3-mm ports even in most cases of gangrenous change, perforation and pre-operative intraabdominal abscess. Besides, they are simple, safe and inexpensive. |
本系統中英文摘要資訊取自各篇刊載內容。