摘要
目的探讨经脐单孔腹腔镜胆囊切除术（TSPALC）的可行性及临床效果。方法对2009年4-6月新疆医科大学附属中医医院普外一科完成20例TSPALC的手术方法及临床效果进行回顾性分析。结果除2例因操作困难中转为腹腔镜胆囊切除术（LC）外,余18例病人手术均获成功。术中无明显出血。手术时间48-110 min,平均（52±22）min。术后未发生胆漏、腹腔感染、切口感染等并发症。术后1-3 d出院。术后复查切口愈合良好,瘢痕隐蔽不易察觉。结论TSPALC是一项新技术,可实现腹壁无瘢痕,但操作难度较大,有技术条件的医院可以在慎重选择病例的基础上开展。
Objective To evaluate the clinical feasibility of the transumbilical single port access（SPA） laparoscopic cholecystectomy.Methods The methods and clinical effects of 20 cases of transumbilical single port access laparoscopic cholecystectomy performed from April to June 2009 at our department were reported.Results The operations of 18 cases were completed successfully while 2 case was converted to routine laparoscopic cholecystectomy due to difficulties in operations.There was no significant differences of bleeding during the operations.The operating time was 48 to 110 minutes and the average surgery time was（52±22） minutes.No post-operation complications occurred such as chole-leakage,abdominal infection and wound infection.The mean postoperative hospital stay was 1 to 3 days.All cases showed good cosmetic outcomes.Conclusion The transumbilical laparoscopic cholecystectomy by single port access is a new technique but a difficult procedure.This lechrique can not scar the skin.The feasibility of the clinical research is determined by the ability of the center,and patients should be selected carefully.
出处
《新疆医科大学学报》
CAS
2010年第2期178-179,182,共3页
Journal of Xinjiang Medical University
关键词
经脐单孔入路
腹腔镜胆囊切除术
腹壁
瘢痕
transumbilical single port access
laparoscopic cholecystectomy
abdominal wall
scar
