关键词: 腹腔镜阑尾切除术, 腹腔脓肿, 腹壁窦道, Hem-o-lok夹

Abstract: Stump appendicitis, abdominal abscesses and even abdominal wall sinus tract formation after laparoscopic appendectomy （LA） are among the rare complications of LA, and although the factors causedthis complications are difficult to determine, they are related to the intraoperative local condition of the ileocecal region and the way for closure of appendiceal stump which includes suture ligation, intracorporeal knotting, DS clip, Hem-o-lok clip. In our department, we admitted a patient who had a right lower intra-abscess and abdominal wall sinus formation due to suspected Hem-o-lok clip off after laparoscopic appendicitis, and needed a reoperation for postoperative complications in March 2002. This clinical practice is relatively rare, so the report was as follows.

Key words: laparoscopic appendectomy, intra-abdominal abscess, abdominal sinus-tract, Hem-o-lok clip