摘要
目的：探讨经脐施行腹腔镜胆囊切除、肝囊肿开窗引流术的可行性。方法：以学习后很短时间内开展的15例手术为依据，探讨各种方法的优缺点。结果：本组无一例中转开腹？除3例因术中出血或解剖变异加做剑突下孔外，余者均成功完成经脐腹腔镜手术。手术时间40～90rain，平均55min，出血5～50ml，平均20ml。术后无出血、胆漏、切口感染等并发症发生。患者24h内均恢复胃肠功能，并进流质饮食。胆囊切除患者平均住院5d，肝囊肿患者平均住院7d。结论：经脐腹腔镜胆囊切除、肝囊肿开窗引流术安全可行，但手术较困难，需改进手术器械，使经脐腹腔镜手术得以广泛推广。
Objective：To assess the feasibility of transumbilical laparoseopie eholeeysteetomy and fenestration drainage of hepatic cysts. Methods：The initial fifteen transumbilieal laparoseopic surgeries′ data was analyzed to assess the advantage and shortcoming of this technique. Results ： Three of 15 cases needed new subxiphoid incision to facilitate the proeedure because of bleeding or anatomy variance. There was no conversion to open appruach. All procedures were successfully performed. The mean operative time was 55min （range 40-90min）. The mean blood loss was 20ml （range 5-50ml）. No complications such as hemorrhage,bile leakage or inci- sion infection occurred. The gastrointestinal function recovered in 24h, and patients could resume fluid food. The mean hospital stay was 5d for eholeeysteetomy patients and 7d for hepatic cyst patients. Conclusions：Transumbilical laparoscopic eholecystectomy and fenes- tration drainage of hepatic cysts are safe, feasible and a little troublesome. The spread of this technique depends on the improvement of the instruments.
出处
《腹腔镜外科杂志》
2011年第2期92-94,共3页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
肝囊肿
经脐
Cholecystectomy, laparoscopic
Hepatic cyst
Transumbilicus
