摘要
目的探讨悬吊式经脐单孔腹腔镜胆囊切除术的可行性。方法分析11例患者(8例胆囊结石,3例胆囊息肉)行悬吊式经脐单孔腹腔镜手术的临床资料。结果11例手术均成功完成,无中转开腹。手术时间35～55min,平均42min。术中检测各项生命体征平稳。术后无出血及胆漏等并发症,胃肠功能恢复时间缩短(<24h),术后6h试饮水,第2天进流质饮食。术后疼痛轻,未使用止疼药物,无肩背部酸痛。住院时间短,患者术后2d出院。术后两周复查,脐部无明显手术瘢痕。随访3～4个月,无并发症发生。结论悬吊式经脐单孔腹腔镜胆囊切除术是安全可行的,但技术操作难度较常规腹腔镜手术大,手术器械有待进一步改进和完善。悬吊式经脐单孔腹腔镜技术更具微创,尤其适用于心肺功能不全的患者,同时具有美容效果,具有推广价值,可望成为有前途的新型腹腔镜技术。
Objective To discuss the feasibility,methods and clinical application of suspended transumbilical single port laparoscopic cholecystectomy.Methods The clinical data of 11 patients（8 cases were Cholecyslithiasis,the other 3 were gall bladder polyps） undergoing suspended transumbilical single port laparoscopic surgery was retrospectively analyzed.Results All the operations were successfully performed without open surgery.The operation time was 35～55 min（mean 42 min）.No postoperative complications such as bleeding and biliary leakage occurred.A shorter recovery time of gastrointestinal function was observed.The patients felt less pain and no analgesic drug was used.The mean time of hospitalization was 2 days.There were no visible scars on the abdominal wall after two weeks.In the follow up of 3～4 months,no complication was observed.Conclusions Suspended transumbilical single port laparoscopic cholecystectomy is a safe and feasible approach.It has the advantages of mini-invasion,rapid recovery,short hospitalization and cosmetic effect,it can also be considered as the first choice for the elderly and cardio respiratory dysfunction patients.
出处
《中华腔镜外科杂志（电子版）》
2009年第1期13-15,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
悬吊
经脐手术
单孔
胆囊切除术
腹腔镜
Suspension Transumbilical Single port Cholecystectomy Laparoscopic
