KẾT QUẢ ĐIỀU TRỊ VIÊM PHÚC MẠC RUỘT THỪA BẰNG PHẪU THUẬT NỘI SOI TẠI MỘT SỐ BỆNH VIỆN ĐA KHOA TỈNH MIỀN NÚI PHÍA BẮC

Abstract

Objective: To study the treatment of appendiceal peritonitis (AP) by laparoscopic surgery (LS) at some Northern mountainous general hospitals. Subjects and methods: Prospective descriptive study conducted on 468 patients diagnosed with AP treated by LS from January 1, 2015 to September 31, 2017 at northern mountainous general hospitals. Results and conclusion: The success rate of laparoscopic surgery was 97.6%; The reason for conversion to open surgery is mostly due to the inability to handle the injury; the majority of patients were placed 3 trocars; most patients have trocar placed in umbilicus + right ribs + left iliac fossa; The most common intra-abdominal inflation pressure is 11-12 mmHg; The majority of diagnoses in surgery are generalized peritonitis, accounting for 76.7%; the majority of patients hadcutting appendix by downstream method; laparoscopic surgery time is mostly in the range of 31-60 minutes; 2 patients had complications during surgery and 8 patients had early complications after surgery; The majority of time stay in hospital after surgery is 6-7 days, accounting for 49.5%.