Selective primary hospital to carry out laparoscopic appendectomy report of 92 cases.docVIP

 PAGE \* MERGEFORMAT 6 Selective primary hospital to carry out laparoscopic appendectomy report of 92 cases [Keywords:] laparoscopic appendectomy, hospital, appendicitis Primary Hospital appendicitis patients often due to economic or other reasons later treatment, especially in suppurative appendicitis, gangrenous appendicitis, the optional use of two holes or three holes laparoscopic appendectomy [1]. Cholecystectomy in our hospital in recent years to carry out Selective resection and also to carry out laparoscopic appendectomy (LA92 cases, are as follows. 1 Materials and Methods 92 cases of this group of patients, 68 patients were male and 24 female. Aged 7 to 78 years old. Onset to operation time 6 ~ 120 h. 36 patients with acute simple appendicitis, acute suppurative appendicitis in 24 cases, 12 cases of combined perforated. 22 cases of chronic appendicitis. with chronic bronchitis in 20 cases, 8 cases of hypertension, diabetes in 4 cases, 2 cases of gallbladder stones. The group of 39 patients with 10 mm hole through the right out of appendectomy in vitro, of which 5 with two holes method appendix in 14 cases of congestive edema, extending 10 mm to 15 mm hole out of the hole line in vitro appendectomy, 30 cases of endovascular occlusion of the line titanium clip LA, 4 retrocecal discretion to extend the incision made after the removal of 2 cm, 2 appendix a confusion dense adhesions, fingers stretching from the right 10 mm hole made auxiliary line separating successful appendectomy, appendix abscess formation in 1 case converted to laparotomy, 2 patients presented retroperitoneal spaces can not be converted to open appendectomy surgery. 2 Results Operative time was 30 ~ 120 min, an average of 50 min. Hospital stay 3 ~ 8 d, an average of 3.5 d. Class incision healing in 79 cases, 8 cases of fat liquefaction, delayed healing of 2 ~ 3 d, 1 were converted to laparotomy 11 d healing 1 case thread response after 14 d healing, wound infection in