1、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:,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
2、,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 collection,Perforated peptic ulcerulcer visible after lifting left liver lobe,腹腔镜穿孔修补缝合术,Perforated peptic ulcerlaparoscopic closure,Perforated peptic ulcer(stapler-fixation of omentum),The end,