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 ulcer morphology related to location,juxta-pyloric ulcer: small, healthy border,gastric ulcer at lesser curvature: large, fibrotic edematous border (ulcus callosum),Perforated peptic ulcer sealing off by left liver half,Perforated peptic ulcer fibrinous peritonitis+parahepatic collection,Perforated peptic ulcer ulcer visible after lifting left liver lobe,腹腔镜穿孔修补缝合术,Perforated peptic ulcer laparoscopic closure,Perforated peptic ulcer (stapler-fixation of omentum),The end,