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首页> 外文期刊>Surgical Endoscopy >Suprapubic single-incision laparoscopic appendectomy: a nonvisible-scar surgical option.
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Suprapubic single-incision laparoscopic appendectomy: a nonvisible-scar surgical option.

机译：耻骨上单切口腹腔镜阑尾切除术：一种不可见疤痕的手术选择。

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BACKGROUND: At the present time, and given the increasing concern about body image, laparoscopic surgeons are faced with an increasing number of patients who want to conserve the umbilicus free of scars for cosmetic reasons. Single-incision laparoscopic surgery (SILS) using the suprapubic approach for appendectomy, while keeping the advantages of SILS through an umbilical incision, leaves the visible abdomen without scars. Moreover, insertion of an additional port in patients with retrocecal or purulent or gangrenous acute appendicitis requiring intra-abdominal drainage is avoided. This report describes the initial experience with suprapubic SILS appendectomy. METHODS: Between September 2009 and December 2010, patients with acute appendicitis admitted to the General Surgery and Emergency Unit of the authors' institution and who agreed to undergo SILS appendectomy through the suprapubic approach were included in a prospective study. Demographics, clinical characteristics, and surgical outcome were recorded. RESULTS: A total of 20 patients (12 men and 8 women) with a mean age of 30 +/- 3 years underwent suprapubic SILS appendectomy. The mean duration of the operation was 40 +/- 7 min. Placement of a suction drain was necessary in four patients. The mean length of hospital stay was 2 +/- 0.5 days. The operation was completed successfully in all patients, and conversion to either multiport or open surgery was not required. No intraoperative or postoperative complications occurred. In all patients, the appearance of the suprapubic wound was good at 7 days after surgery. CONCLUSION: Suprapubic SILS appendectomy offers better, cosmetically appealing results than the standard umbilical access. In case of retrocecal or purulent or gangrenous acute appendicitis, the view provided via the suprapubic approach makes access to and dissection of the appendix easy, and it also enables exteriorization of a drain without adding new lateral incisions.
机译：背景：目前，由于人们越来越关注身体图像，腹腔镜外科医生面临越来越多的患者，这些患者出于美容原因而希望保留脐部无疤痕。使用耻骨上方法进行阑尾切除术的单切口腹腔镜手术（SILS），尽管通过脐带切口保留了SILS的优势，但可见腹部没有疤痕。而且，避免在需要腹腔内引流的盲肠性或化脓性或坏疽性急性阑尾炎患者中插入额外的端口。该报告描述了耻骨上SILS阑尾切除术的初步经验。方法：2009年9月至2010年12月之间，纳入作者所在机构的普通外科急诊科并同意通过耻骨上入路进行SILS阑尾切除术的急性阑尾炎患者入选了一项前瞻性研究。记录人口统计学，临床特征和手术结果。结果：总共20例平均年龄为30 +/- 3岁的患者（12例男性和8例女性）接受了耻骨上SILS阑尾切除术。手术的平均持续时间为40 +/- 7分钟。四名患者必须放置引流管。平均住院时间为2 +/- 0.5天。所有患者均成功完成了手术，因此无需转换为多端口或开放式手术。无术中或术后并发症发生。在所有患者中，耻骨上耻骨伤口的外观在术后7天均良好。结论：耻骨上SILS阑尾切除术比标准脐带入路提供更好的，美观的结果。如果是盲肠后或化脓性或坏疽性急性阑尾炎，通过耻骨上入路可轻松进入和解剖阑尾，并在不增加新的侧向切口的情况下实现引流的外部化。

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