腹腔镜阑尾切、胃穿孔修补.pptVIP

腹腔镜阑尾切除术 Laparoscopic Appendectomy 阑尾切除术式 1.传统阑尾切除术 2.腹腔镜阑尾切除术 传统阑尾切除术 切口选择 寻找阑尾 处理阑尾系膜 处理阑尾根部 放置引流 处理原则： 腹腔镜下阑尾切除术 Kurt Semm (1983) 传统阑尾切除术 McBurney(1889) 急诊手术 腹腔镜阑尾切除术 Laparoscopic appendectomy 腹腔镜胃十二指肠穿孔修补术LAPAROSCOPIC REPAIR OF PERFORATED PEPTIC ULCER 杨平 广东省佛山市第一人民医院胃肠外科 Perforated peptic ulcermorphology related to location juxta-pyloric ulcer: small, healthy border gastric ulcer at lesser curvature: large, fibrotic edematous border (ulcus callosum) Perforated peptic ulcersealing off by left liver half Perforated peptic ulcerfibrinous peritonitis+parahepatic coll