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首页> 外文期刊>Surgical Endoscopy >One-trocar appendectomy in pediatric surgery.
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One-trocar appendectomy in pediatric surgery.

机译：儿科手术中的一针式阑尾切除术。

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摘要

Laparoscopic appendectomy is a safe alternative to open appendectomy to treat appendicitis. The author reports his experience in performing laparoscopic appendectomy with the use of only one trocar in pediatric patients. Between 1 January 1994 and 30 October 1995 at the Department of General and Pediatric Surgery, Division of Pediatric Surgery of the "Federico II" University of Naples, we performed 51 laparoscopic appendectomies. Patient age varied from 4 to 16 years with a mean age of 7 years. In the last 25 patients of our series we performed the one-trocar appendectomy, positioning only one trocar infraumbilically with the use of a 10-mm operative telescope. The appendix is identified, dissected when necessary, grasped laparoscopically with a 450-mm operative atraumatic instrument introduced through the operative channel of the laparoscope, and then exteriorized through the umbilical cannula. The appendectomy was performed using traditional method outside the abdominal cavity. We had no intra- or perioperative mortality or morbidity. The mean overall hospitalization time was 2 days (1-4 days). At a maximal follow-up of 20 months the children have no clinical problems nor any visible scar related to the laparoscopic appendectomy. In conclusion, the author considers the one-trocar appendectomy an appropriate alternative procedure to other techniques of laparoscopic appendectomy.
机译：腹腔镜阑尾切除术是开放性阑尾切除术治疗阑尾炎的安全替代方法。作者报告了他在小儿患者中仅使用一根套管针进行腹腔镜阑尾切除术的经验。在1994年1月1日至1995年10月30日之间，我们在那不勒斯“费德里科二世”大学儿科外科的普通和儿科外科进行了51例腹腔镜阑尾切除术。患者年龄从4岁到16岁不等，平均年龄为7岁。在本系列的最后25例患者中，我们进行了一个套管针阑尾切除术，仅使用10毫米手术望远镜将一根套管针放在脐下。识别阑尾，必要时进行解剖，用通过腹腔镜手术通道引入的450毫米手术无创器械腹腔镜抓握，然后通过脐带套管将其外部化。阑尾切除术是在腹腔外使用传统方法进行的。我们没有术中或围手术期的死亡率或发病率。平均总住院时间为2天（1-4天）。在最长的20个月随访中，儿童没有临床问题，也没有与腹腔镜阑尾切除术相关的可见疤痕。总之，作者认为单针阑尾切除术是其他腹腔镜阑尾切除术技术的合适替代手术。

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