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題名 | Laparoscopic Appendectomy--The Experiences of 175 Cases=腹腔鏡闌尾切除術--175病例之經驗 |
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作者姓名(中文) | 姚忠瑾; 楊誠群; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 30:4 民86.07-08 |
頁次 | 頁239-243 |
分類號 | 416.243 |
關鍵詞 | 腹腔鏡闌尾切除術; Laparoscopy; Appendectomy; |
語文 | 英文(English) |
中文摘要 | Between August 1993 and March 1996, a total of 175 patients with clinically suspected acute appendicitis were diagnosed and received laparoscope treatment at this hospital.There were 91 male patients, ages ranging from 10 to 79 y/o(average 33.1±16.8 y/o), and 84 femala patients, ages ranging from 13 to 75 y/o (average 29.8±11.5 y/o). Pathological reports confirmed the diagnosis of acute appendicitis in 119 of 175 patients.The clinical diagnostic accuracy rate was 68%.The accuracy rate was 75% for males and 61% for females. A total of eight cases (4.6%) needed conversion:three cases (1.8%) experienced technical failure, treatment plan was changed in two cases, three cases (1.8%) suffered injury to abdominal organs during the insertion of the first trocar.Three patients (1.8%) developed trocar site infection and six cases developed intra-abdominal infection(3.6%).Excluding cases requiring conversion and concomitant gynecological operation, the average operation time was 41±8 minutes (19-61 minutes).The average length of hospital stay (LOS) was 3.8±3.1 .The average LOS for patients without complications was 3.1±2.2 days, and 5.6± 5.9 days for patients with complications. There was no mortality.the complication rate, operation time and length of hospital stay for laparoscopic appendectomy are within acceptable limits. It also has many additional advantages over the traditional open method.We believe that laparoscopic appendectomy is a good choice of treatment for patients suspected of acute appendicitis. |
英文摘要 | 自1993年8月到1996年3月共有175例臨床診斷為急性闌尾炎之病患接受腹腔鏡之診 斷與治療,其中男性91例,年齡10歲到79歲(平均31.1±16.8歲),女性84例,年齡從13歲 75歲(平均29.8±15.0歲)。病理報告為急性闌尾炎者共119例,正確臨床診斷率為68%,其 中男性為75%,女性為61%,有8例改為開腹手術,排除改為開腹手術病患,有3例傷口感染( 1.8%),腹內感染有6例(3.6%),而置放導管致腹內臟器損傷有3(1.7%)例。手術時間在排 除改為開腹手術的病例及施行婦科手術之病例外,為41±8分鐘(19-61分鐘)。平均住院天 數為3.8±3.1天。無併發症之病患住院天數為3.1±2.2天,有併症之病患為5.6±5.9天。沒 有死亡病例。我們認為腹腔鏡闌尾切除術的併發生率、手術時間,及住院天數是可接受的, 同時它還有許多傳統手術所沒有的優點(詳見內文)。對臨床診斷為急性闌尾炎的病患,施 行腹腔鏡闌尾切除術,在有經驗醫師操作下,是值得推廣與採用的。 |
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