Laparoscopic appendectomy in 32 cases.docVIP

 PAGE \* MERGEFORMAT 11 Laparoscopic appendectomy in 32 cases Keywords: acute and chronic appendicitis General Surgery of acute and chronic appendicitis is a common disease in the past used to treat abdominal appendectomy. With the laparoscopic technology continues to progress and popularity of laparoscopic appendectomy (Laparoscopic appendectomy, LA) were more doctors and patients. Our hospital from January 2004 to October 2007 were OK LA 32 cases are reported as follows. 1 Data and methods 1.1 General Information 32 cases of LA patients, 11 males and 21 females; aged 19 to 66 years, an average of 32 years. 29 cases of acute appendicitis, of which 19 cases of simple appendicitis, suppurative appendicitis, 9 cases of acute appendicitis, perforation in 1 case, chronic appendicitis, 3 cases. 1.2 surgical Tracheal intubation using general anesthesia, intraoperative front of an empty bladder, non-indwelling catheter and the stomach. Make lcm arc umbilical incision for observation holes and specimens removed Road. Pneumoperitoneum needle insertion quickly filled with carbon dioxide gas to establish pneumoperitoneum, pneumoperitoneum pressure to maintain 12 ~ 15mmHg, and then insert the 10mm tube, placed in 30 ° laparoscopic abdominal exploration. Press the right on the top left, bottom left, pelvic and right lower abdominal general, the order of observation of the exclusion of other diseases may be after the pubic symphysis under direct vision on the right middle Shaopian Department for 5mm incision as Vice operating Kong (pubic hair covered sites). Low-foot high left-leaning to take the first position 30 °, using suction to attract the net intra-abdominal pus, cis-colon with the appendix found in the appendix 3 refers to Department cephalic side to do 10mm incision into 10mm hole casing as the main operation. Ruoyin adhesions can not be exposed to the appendix, Michael’s nod in the three means at the lateral incision to