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腹腔镜阑尾炎手术的优缺点有哪些 刘先武 徐州矿务集团总医院 腹腔镜阑尾炎手术的优点:一,腹腔镜阑尾切除术有诊断作用,尤其是术前诊断不明者,不只探查右下腹,可同时探查全腹部,一旦术中证实阑尾“没事”,可同时处理所发现疾病。二,由于切口较小,术后疼痛轻,可以早起下地活动,术后排气时间短,禁食时间短。三,术后整体恢复快,可以3-5天出院,较早地生活自理、恢复工作;四,长远来看,腹部切口小,瘢痕小。5.肠粘连可能性小,切口感染可能性大大降低。任何技术有利就有弊,腹腔镜手术也有其缺点:一,需要全身麻醉,这对于某些年老体弱的患者来说可能难以耐受。二,有腹腔镜手术特有的一些并发症,如穿刺损伤、气腹相关影响,不过发生率极低。三,费用高于开腹阑尾切除术。避免食用产气的食物,诸如地瓜、豆类、洋葱等,如此可以减少术后腹胀引起的不适。 What are the advantages and disadvantages of laparoscopic appendicitis The advantages of laparoscopic appendicitis: 1, Laparoscopic appendectomy has diagnostic value, Especially the patients with unknown diagnosis before operation, Not only the right lower abdomen, The whole abdomen can be explored at the same time, Once the appendix is confirmed "OK" during the operation, It can deal with the diseases found at the same time. Two, Because of the small incision, The postoperative pain was mild, You can get up early and go to the ground, The postoperative exhaust time was short, Fast time is short. Three, The overall recovery was fast, It can be discharged in 3-5 days, Early life, self-care, recovery work; Four, In the long run, The abdominal incision is small, The scar is small. 5. The possibility of intestinal adhesion is small, The possibility of incision infection is greatly reduced. Any technology has its advantages and disadvantages, Laparoscopic surgery also has its disadvantages: 1, General anesthesia is needed, This may be intolerable to some elderly and frail patients. Two, There are some complications specific to laparoscopic surgery, Such as puncture injury, pneumoperitoneum related effects, But the incidence is very low. Three, The cost is higher than that of open appendectomy. Avoid foods that produce gas, Such as sweet potatoes, beans, onions, etc, This can reduce postoperative abdominal distention caused by discomfort.