如何完成腹腔镜下阑尾切除术 朱利勇 中南大学湘雅三医院 скачать в хорошем качестве

如何完成腹腔镜下阑尾切除术 朱利勇 中南大学湘雅三医院

如何完成腹腔镜下阑尾切除术 朱利勇 中南大学湘雅三医院 首先、对病人进行评估，评估后认为这个病人具有阑尾切除的手术指征，我们在手术室进行麻醉后让病人充分的放松，在腹部先建立气腹就是在肚皮上打三个洞，一般在肚脐和肚脐下面大概5公分以及肚脐的右侧大概10厘米，建立三个三角形的洞，然后进去一个镜子看到腹腔内的状况，另外两个洞进去两把钳子进行阑尾的钳夹，然后将阑尾进行充分提拉，暴露阑尾的根部，阑尾就像人的指节一样，我们在指节的根部进行阑尾切除，第一个先把阑尾的血管离断，在阑尾的根部进行钛夹的钳夹后进行切除，这样损伤非常的小，因为它所有的手术范围，局限在阑尾根部极狭小的空间里面，提醒广大的患者，如果阑尾炎发现及时到正规的医院治疗，这样避免不必要的阑尾炎导致腹膜炎等。如果是治疗不及时会造成严重性的腹膜炎等。 How to complete laparoscopic appendectomy First, evaluate the patient, After evaluation, the patient was considered to have the indication of appendectomy, We give the patient enough relaxation after anesthesia in the operating room, To build an pneumoperitoneum in the abdomen is to make three holes in the belly, Generally, it's about 5cm below the navel and 10cm to the right of the navel, Create three triangular holes, Then go in a mirror and see what's going on inside the abdomen, Two other pincers are put into the other two holes to clamp the appendix, The appendix is then fully retracted, Expose the root of the appendix, The appendix is like a knuckle, We had appendectomy at the base of the knuckles, The first is to disconnect the blood vessels of the appendix, The root of the appendix was clipped with a titanium clamp and then removed, The damage is very small, Because of all the scope of the operation, Confined to a very narrow space at the base of the appendix, Remind patients, If appendicitis is found to be treated in a regular hospital in time, So as to avoid unnecessary appendicitis leading to peritonitis. If the treatment is not timely, it will cause serious peritonitis.