免钛夹单双极电凝法腹腔镜阑尾切除术60例临床体会

摘要

Objective To explore the feasibility and security of monopolar and bipolar electrocoagulation in the laparoscopic appendectomy(LA) without clips.Methods The clinical data of 60 patients who underwent LA with monopolar and bipolar electrocoagulation without clips from Nov.2010 to Oct.2012 were retrospectively analyzed.Results A 1 l of the 60 eases were treated successfully under laparoscopy without conversiong to open surgery.Mean operation time was(50±10.1)min (range,30~80 min).Mean length of hospital stay was(5±0.8)d(range, 4~7 d).No severe complications such as postoperative hemorrhage ,infection or intestinal obstructio were found.Conclusion We conclude that the monopolar and bipolar electrocoagulation without clips can be used safely in LA with shorter operative time ,less blood loss and cost .This procedure is worth popularization without titanium clips left.%　　目的探讨腹腔镜阑尾切除术(laparoscopic appendeetolny，LA)应用单双极电凝法的可行性及安全性。方法回顾分析2010年11月-2012