Obese patients with laparoscopic appendectomy 50 cases reported.docVIP

 PAGE \* MERGEFORMAT 8 Obese patients with laparoscopic appendectomy 50 cases reported [Keywords:] Laparoscopic Appendectomy Laparoscopic appendectomy in patients with the advantages of the ordinary is not very prominent, but for obese patients, particularly obese women patients, their advantages are quite obvious [1]. This study of 50 obese patients undergoing laparoscopic appendectomy surgery, efficacy remarkable. Report are as follows. 1 Data and methods 1.1 General Information From March 2004 to March 2008 Yongkang First People’s hospital of appendicitis admitted to a Division (including acute, chronic) 1 400 cases, of which 50 cases of obese patients with appendicitis, the implementation of laparoscopic appendectomy. According to body mass index criteria for obesity (body mass index, BMI) ≥ 25%, waist circumference (WHO standard): Maleamp;gt; 94cm, womenamp;gt; 80cm were selected, of which 21 males, 29 females, aged from 15 to 63 years (mean age 42.16 ± 9.80) years of age. Including: seven cases of acute simple appendicitis, acute suppurative appendicitis in 8 cases of acute gangrenous appendicitis in 11 cases, with 9 cases of perforation peritonitis, chronic appendicitis, 24 cases. Are the basis of clinical manifestations of chronic appendicitis, gastrointestinal barium meal examination confirmed. Gallstones, or ovarian cysts in 3 cases. 1.2 surgical All the patients were taken to endotracheal general anesthesia, supine position to take. The first low-pin-high, left-leaning 20 to 30 degrees. Using three-hole method: 10mm umbilical incision into the lower edge of laparoscopy, bilateral anterior superior iliac spine level of rectus abdominis incision for operation of the outer edge of 5mm hole, pneumoperitoneum 13mmHg. First of all abdominal exploration, a clear diagnosis, the appendix may be filed directly with the separation of pliers electrocoagulation separation wall along the appendix mesentery up to the root of the appendix, mesangial without