摘要
目的探讨经脐单孔腹腔镜胆囊切除术的可行性。方法 2010年5月至2010年8月,21例胆囊疾病患者(息肉样病变7例,结石14例)行经脐单孔腹腔镜胆囊切除术,于脐部正中做一25mm横行切口,开放法建立腹腔镜操作通道并维持气腹完成胆囊切除。结果 21例手术均获成功。平均手术时间为60min(40～120min)。未放置引流管,无出血及胆漏等并发症发生,清醒后即饮水,术后平均住院时间为2d(术后第1～4天出院),术后两周复查,脐部无明显手术瘢痕。结论经脐单孔腹腔镜胆囊切除术是安全、可行的,操作难度较常规腹腔镜胆囊切除术(LC)增大,脐部操作装置、腹腔镜及手术器械有待进一步完善和改进,但其较传统LC更加微创和无明显疤痕,极具临床推广价值,有望成为主流的新型LC术式。
Objective To discuss the feasibility, methods and clinical application oftransumbilical single port laparoscopic cholecystectomy. Methods From May 2010 to August 2010, the clinical data of 21 patients with gallbladder diseases undergoing transumbilical single port laparoscopic cholecystectomy was retrospectively analyzed. Results All the operation were successfully performed. The mean operation time of all 21 cases was 60 min （ 40 - 120 min ）. No drainage tube was placed and postoperative bleeding and biliary leakage didn＇t occur. The mean time of hospitalization was 2 day. There was no visible scar on the abdominal wall. Conclusions Transumbilical single port laparoscopic choleeystectomy is a safe and feasible operation. It has the advantages of mini-invasion, rapid recovery, short hospitalization and cosmetic effect. It Can be considered as the first choice.
出处
《中华腔镜外科杂志（电子版）》
2010年第5期42-44,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
经脐手术
内镜手术
单孔
胆囊切除术
腹腔镜
Transumbilical
Endoscopic surgery
Single port
Cholecystectomy
Laparoscopic
