TY -的A2 Tokar Baran盟——Noviello胭脂AU - Romano,奔驰AU -马蒂诺,Ascanio AU - Cobellis,乔凡尼PY - 2015 DA - 2015/09/29 TI - Transumbilical Laparoscopic-Assisted阑尾切除术治疗儿童急性阑尾炎简单的SP - 949162六世- 2015 AB - Transumbilical Laparoscopic-Assisted阑尾切除术(TULAA)正日益在全球范围内进行。作者报告他们的经验治疗急性无并发症与TULAA儿童阑尾炎。从2008年1月至2012年12月所有类型的急性阑尾炎是分裂的,根据临床和超声发现,到复杂(阑尾的质量/脓肿、弥漫性腹膜炎)和简单的。复杂的阑尾炎治疗开放阑尾切除术(OA)。简单的怀疑阑尾炎患者都是由团队的所有外科医生TULAA供货。转换为打开或腹腔镜阑尾切除术(LA)的执行不可能完成TULAA,取决于外科医生的选择。附录总是表现的病理组织检查。男性444名儿童(252)与急性阑尾炎的治疗。的平均年龄为9.2岁(范围2到14年)。主要办公自动化进行了144例。 In 300 patients a transumbilical laparoscopic-assisted approach was performed. TULAA was completed in 252 patients. Conversion to OA was performed in 45 patients and to LA in 3. Conversion was related to the impossibility to adequately expose the appendix in 47 patients and bleeding in 1. The mean operative time for TULAA was 42 minutes. Histopathologic examination of the appendix removed by TULAA showed a phlegmonous/gangrenous type in 92.8% of cases. Among the 252 TULAA there were 11 cases of umbilical wound infection. TULAA is a feasible and effective procedure for uncomplicated appendicitis in children. It combines the advantages of open and laparoscopic technique (low operative time, low complications rate, and excellent cosmetic results). SN - 1687-6121 UR - https://doi.org/10.1155/2015/949162 DO - 10.1155/2015/949162 JF - Gastroenterology Research and Practice PB - Hindawi Publishing Corporation KW - ER -