摘要
目的探讨经脐单切口腹腔镜胆囊切除术的安全性及可行性。方法报告2009年5月～2009年9月中国医科大学附属盛京医院胆道血管外科施行的30例经脐单切口腹腔镜胆囊切除术,采用两种不同的方法建立腹腔镜操作通道并维持气腹完成胆囊切除,其中前10例采用Covidien公司的SILSTM套件完成,后20例采用传统腹腔镜器械完成。结果 30例手术均获成功,无1例中转传统腹腔镜或开腹胆囊切除术,手术时间为20～65min,平均35.0min。术后无出血、胆汁漏等并发症发生,患者恢复良好,治疗及美容效果满意,术后平均住院日为3d。结论经脐单切口腹腔镜胆囊切除术在技术上是安全可行的,且具有明显的美容优势,但较传统腹腔镜胆囊切除术而言其操作难度增加,近远期临床疗效需要进一步的临床随机对照研究来证实。
【Objective】To evaluate the safety and clinical feasibility of single incision laparoscopic surgery on cholecystectomy in a totally transumbilical way. 【Methods】Between May and September,this procedure was attempted in 30 well-selected patients in Shengjing Hospital of China Medical University. Pneumoperitoneum and working channels were achieved by two separate ways：SILS^TM procedure kit was used in the former 10 cases,while standard laparoscopic instruments were used in the latter 20 cases. 【Results】All the operations were successfully completed without conversion to conventional laparoscopic or open cholecystectomy. Average surgery time was 35.0 minutes （20～65 minutes）. No drainage tube was placed. No port-related or surgical complications such as bile leak or uncontrolled hemorrhage occurred postoperatively. Patients were satisfied with the therapeutic and cosmetic effects. The mean hospital stay after surgery was 3 days. 【Conclusions】Single incision laparoscopic cholcystectomy performed totally through umbilicus is technically feasible and safe when performed by skilled laparoscopic surgeons,and it further enhances the cosmetic benefits. When compared with conventional laparoscopic cholecystectomy,it＇s more manipulatively difficult,and it also has to be determined whether this new approach would benefit patients by clinical randomized studies.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第4期358-361,366,共5页
China Journal of Endoscopy
关键词
单切口腹腔镜手术
胆囊切除术
single incision laparoscopic surgery （SILS）
cholecystectomy
