摘要
目的探讨经脐单孔腹腔镜胆囊切除术（LC）的方法和可行性。方法回顾性分析我院2008年12月至2009年2月期间46例经脐单孔LC患者的临床资料。结果本组46例均通过普通腹腔镜器械经脐行单孔LC取得成功,均未放置引流。手术时间40-130 min,平均52.3 min;出血10-150 ml,平均40.6 ml。无漏胆、出血、脐疝、切口感染等并发症发生,住院1-4 d,切口不拆线,术后随访2周-3个月,平均1.8个月,腹壁疤痕不明显。结论经脐单孔LC安全、可行,术后腹壁疤痕不明显,但操作困难,在有条件的医院可作为LC的改进术式推广。
Objective To investigate the method of single umbilical port laparoscopic cholecystectomy and its feasibility.Methods The clinical data of 46 patients receiving single port umbilical laparoscopic cholecystectomy in this hospital from December 2008 to February 2009 were analyzed retrospectively.Results Fourty-six cases were operated successfully with ordinary laparoscopic instruments by single umbilical port laparoscopic cholecystectomy,all without drainage placed.Operative time was from 40 to 130 min,average 52.3 min;bleeding was from 10 to 150 ml,average 40.6 ml.No complications,such as biliary leakage,hemorrhage,umbilical hernia and infection of incisional wound happened.Postoperative abdominal wall scar was not obvious,1-4 d hospitalization,from 2 weeks to 3 months following-up without disconnecting of incision.Conclusions The single umbilical port laparoscopic cholecystectomy is safe and feasible,with little abdominal wall scar,but difficult to perform,so it can be applied in hospitals with related conditions as improvements of laparoscopic cholecystectomy.
出处
《中国普外基础与临床杂志》
CAS
2009年第10期803-805,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
腹腔镜胆囊切除
单孔
胆囊疾病
外科手术
Laparoscopic cholecystectomy
Single port access
Gallbladder disease
Surgery
