Cause and management of difficult laparoscopic appendectomy
10.3760/cma.j.issn.1673-4904.2011.08.007
- VernacularTitle:困难型腹腔镜阑尾切除术的原因及处理
- Author:
Yanghua LIU
;
Youzhu LI
;
Peizhong XIAN
;
Meirong LI
;
Chunan LIU
;
Feipeng XU
- Publication Type:Journal Article
- Keywords:
Appendicitis;
Appendectomy;
Laparoscopes
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(8):17-18
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the cause and management of difficult laparoscopic appendectomy.Method A retrospective analysis of 102 difficult laparoscopic appendectomies was performed. Results The associating factors leading to operative difficulty were as follows:adhesion of peri-appendix in 44 cases,gangrene at root of appendix in 21 cases,special location of appendix in 17 cases,abdominal adhesion in 12 cases,obesity and inflatable intestine in 8 cases. Laparoscopic appendectomy was successfully performed in 96 cases(94.1%,96/102) ,and no intestinal leakage or massive hemorrahge occurred. Conclusions Adhesion of peri-appendix is the most common cause in difficult laparoscopic appendectomy,and gangrene at root of appendix is the most difficult one. Reasonable management for appendix stump contributes to successful operation.
