经脐入路完全腹腔镜下阑尾切除术38例 The Application of Transumbilical Totally Laparoscopic Appendectomy in 38 Patients

目的：探讨经脐入路完全腹腔镜下阑尾切除术(Laparoscopic appendectomy, LA)的优点、可行性及运用价值。方法：急性单纯性阑尾炎15例，急性化脓性阑尾炎23例，行经脐入路完全腹腔镜下阑尾切除术。结果：38例手术均获成功，无中转常规腹腔镜或开腹手术。手术时间30~50 min，平均术后住院3天，无术后并发症。除脐轮皱褶部位外无可见腹壁疤痕。结论：经脐入路完全腹腔镜下LA安全，可行，美容效果佳，与常规LA相此操作有一定难度，但可以克服。 Objective: To evaluate the advantages, feasibility and application of transumbilical total laparoscopic appendectomy (LA). Methods: 15 patients of acute simple appendicitis, 23 patients of acute suppurative appendicitis, were operated by total laparoscopic appendectomy via umbilical approach. Results: Transumbilical total LA was performed successfully in 38 patients, and there was no transfer to conventional laparoscopy or laparotomy. The operation time of all patients was about 30 - 50 min, the mean time after postoperative hospital stay was 3 days. There were no postoperative complications. There was non-visible scar and incision on the abdominal wall, except minor umbilical round folds, Conclusion: The umbilical LA was safe, feasible and well cosmetic. Compared with the conventional LA, there are some difficulties which, however, may be overcome.