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

摘要： 腹腔镜阑尾切除术（LA）后的阑尾残株炎、腹腔脓肿甚至腹壁窦道形成是LA少见的并发症之一,虽然导致这种并发症的因素很难确定,但与术中回盲部组织状况及阑尾根部的处理方式有关。术中阑尾根部的处理方式有缝合结扎、套结线结扎、外科夹夹闭等。我科收治1例LA后疑似因Hem-o-lok夹脱落致右下腹脓肿并腹壁窦道形成的患者,经再次使用腹腔镜下手术处理后痊愈,该临床现象较为少见。

关键词: 腹腔镜阑尾切除术, 腹腔脓肿, 腹壁窦道, Hem-o-lok夹