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目的:探讨经脐单孔双套管三器械腹腔镜阑尾切除术治疗儿童急性阑尾炎的安全性及可行性。方法:回顾性分析我院2009年12月至2010年12月开展的经脐单孔双套管三器械腹腔镜阑尾切除术(A组,n=11例)及同期行传统腹腔镜阑尾切除术(B组,n=21例)患儿的临床资料,比较两组手术并发症发生率、手术时间、术中出血量、术后住院时间及总住院费用等指标。结果:32例手术均获成功,术后无并发症发生,两组间手术时间、术中出血量、术后住院时间及总住院费用比较差异均无统计学意义,术后随访2周～3个月患儿脐部未见明显瘢痕。结论:经脐单孔双套管三器械腹腔镜儿童阑尾切除术安全可行,美容效果更好,值得推广。
Objective: To investigate the safety and feasibility of laparoscopic appendectomy for the treatment of acute appendicitis in children through the single umbilical double-hole and double-cannula device. Methods: A retrospective analysis of three instruments laparoscopic appendectomy (A group, n = 11) and conventional laparoscopic appendectomy performed in our hospital from December 2009 to December 2010 were performed. (Group B, n = 21). The complication rates, operation time, intraoperative blood loss, postoperative hospital stay and total hospitalization costs were compared between the two groups. Results: All the 32 surgeries were successful and no postoperative complication occurred. There was no significant difference in the operation time, intraoperative blood loss, postoperative hospital stay and total hospitalization costs between the two groups. The patients were followed up for 2 weeks to 3 Month umbilical no obvious scar. Conclusions: Laparoscopic appendectomy is a safe and feasible method for the transumbilical umbilical double-cannula and three-device laparoscopic pediatric appendectomy. The cosmetic effect is better and worthy of promotion.