Transumbilical single-incision laparoscopic surgeries have attracted the attention of surgeon. Here we report a patient with multiple hepatic hemagiomas and symptomatic cholelithiasis who underwent laparoscopic left l...Transumbilical single-incision laparoscopic surgeries have attracted the attention of surgeon. Here we report a patient with multiple hepatic hemagiomas and symptomatic cholelithiasis who underwent laparoscopic left lateral hepatecomy and left hepatic hemangioma enucleation with single incision followed by cholecystectomy. The duration of the operation was 155 minutes and the blood loss was 100 ml. There were no complications during or after the treatment. This surgical treatment yields a good cosmetic effect and rapid recovery.展开更多
目的探索自主研发装置免气腹吸烟拉钩及腹壁多方位针样牵引器辅助经脐单孔腹腔镜阑尾切除术的疗效。方法回顾性分析2021年1月至2024年6月在我院行经脐单孔腹腔镜阑尾切除术的124例患者资料,按照是否使用辅助装置分为对照组(66例,接受传...目的探索自主研发装置免气腹吸烟拉钩及腹壁多方位针样牵引器辅助经脐单孔腹腔镜阑尾切除术的疗效。方法回顾性分析2021年1月至2024年6月在我院行经脐单孔腹腔镜阑尾切除术的124例患者资料,按照是否使用辅助装置分为对照组(66例,接受传统腹腔镜阑尾切除术)和研究组(58例,接受免气腹吸烟拉钩及腹壁多方位针样牵引器辅助经脐单孔腹腔镜阑尾切除术)。比较两组的手术相关指标、术后恢复相关指标、术后24 h感染指标、切口感染率、卫生经济学指标。结果与对照组相比,研究组的术中出血量减少,术后排气时间缩短,术后24 h CRP水平及住院费用明显降低,差异具有统计学意义(P<0.05)。两组手术时间、引流管留置率、术后拔管时间、术后住院时间、术后下床活动时间、术后24 h切口视觉模拟评分法(VAS)评分、白细胞计数(WBC)、中性粒细胞比例(N%)、降钙素原(PCT)水平及切口感染率比较,差异无统计学意义(P>0.05)。结论使用自主研发装置辅助进行单孔腹腔镜手术可减少患者的术中出血量,缩短术后排气及炎症消退时间,且未增加手术时间、术后疼痛及切口感染率,同时能降低住院费用。展开更多
目的:探讨基于经脐单孔腹腔镜阑尾切除术(transumbilical single-Incision laparoscopic appendectomy,TU-SILA)的体外阑尾切除术的临床效果和短期预后。方法:回顾性收集2022年2月至2025年5月福建医科大学附属协和医院收治的76例行TU-S...目的:探讨基于经脐单孔腹腔镜阑尾切除术(transumbilical single-Incision laparoscopic appendectomy,TU-SILA)的体外阑尾切除术的临床效果和短期预后。方法:回顾性收集2022年2月至2025年5月福建医科大学附属协和医院收治的76例行TU-SILA手术的阑尾炎患者的临床资料。根据手术方式分为体外切除组(n=31)和体内切除组(n=45)。对比两组临床资料及术后指标。结果:体内切除组术前C反应蛋白(C reactive protein,CRP)(25.46±6.22 vs 22.33±4.84 mg/L,P=0.021)及D-二聚体(0.93±0.25μg/mL vs 0.82±0.21μg/mL,P=0.048)高于体外切除组,两组其余临床资料比较,差异无统计学意义(P>0.05)。术后指标对比显示体外切除组手术时长显著缩短(41.65±11.17 min vs 56.86±22.91 min,P=0.000),术后24小时CRP水平更低(17.57±5.31 mg/L vs 38.19±7.24 mg/L,P=0.000),术后疼痛视觉模拟评分(Visual Analogue Scale,VAS)更低(2.62±0.44 vs 3.52±0.46,P=0.000)。两组住院总天数、住院总费用及并发症发生率(切口感染、残端瘘等)比较,差异无统计学意义(P>0.05),体外切除组无并发症发生。结论:基于TU-SILA的体外切除阑尾具有手术时间短、术后炎症反应轻、疼痛程度低等优势,不增加并发症风险及医疗成本。展开更多
BACKGROUND Endoscopic retrograde appendicitis therapy(ERAT)is an emerging technique.However,its efficacy remains uncertain,and postoperative complications often exacerbate inflammation,thereby increasing the difficult...BACKGROUND Endoscopic retrograde appendicitis therapy(ERAT)is an emerging technique.However,its efficacy remains uncertain,and postoperative complications often exacerbate inflammation,thereby increasing the difficulty of surgery.The use of ERAT in appendicitis remains contentious,prompting the presentation of this case report.CASE SUMMARY We report the case of a 43-year-old female patient presenting with intermittent right lower abdominal pain for one day.The patient had undergone ERAT six months previously.Examination revealed stent impaction in the appendix,leading to exacerbated inflammation.Subsequently,a solo single-incision laparo-scopic appendectomy(SSLA)was performed.The ERAT-related complications increased surgical difficulty and prolonged the operation time.Post-SSLA,the patient was hospitalized for one day and showed favorable recovery upon follow-up.CONCLUSION This case highlights the risks of ERAT.Thorough preoperative assessment,proper stent placement during surgery and regular postoperative follow-up are crucial in preventing complications,as their occurrence can increase surgical difficulty.Compared to ERAT,SSLA remains more widely used in clinical practice.Both techniques require further clinical data and research to optimize their application.展开更多
目的探讨经脐单孔腹腔镜阑尾切除术的临床价值。方法我院2009年8月～2010年5月对82例阑尾炎,在脐孔切口1.5 cm应用10 mm 30°腹腔镜,另外置入1～2枚5 mm trocar完成腹腔镜下阑尾切除手术。结果 82例手术均获成功,无中转开放手术及...目的探讨经脐单孔腹腔镜阑尾切除术的临床价值。方法我院2009年8月～2010年5月对82例阑尾炎,在脐孔切口1.5 cm应用10 mm 30°腹腔镜,另外置入1～2枚5 mm trocar完成腹腔镜下阑尾切除手术。结果 82例手术均获成功,无中转开放手术及改变手术方式。32例经脐单孔双trocar法手术时间25～50 min,平均34 min。住院时间2～5d,平均3.3 d。50例经脐单孔三trocar法手术时间20～45 min,平均27 min。住院时间2～5 d,平均2.8 d。80例术后随访5～14个月,无切口感染、再发右下腹痛等发生。结论经脐单孔腹腔镜阑尾切除术简单易行、安全、并发症少、恢复快、美容效果较好,但需要特殊的可弯曲腹腔镜操作器械,手术费用较高。展开更多
文摘Transumbilical single-incision laparoscopic surgeries have attracted the attention of surgeon. Here we report a patient with multiple hepatic hemagiomas and symptomatic cholelithiasis who underwent laparoscopic left lateral hepatecomy and left hepatic hemangioma enucleation with single incision followed by cholecystectomy. The duration of the operation was 155 minutes and the blood loss was 100 ml. There were no complications during or after the treatment. This surgical treatment yields a good cosmetic effect and rapid recovery.
文摘目的探索自主研发装置免气腹吸烟拉钩及腹壁多方位针样牵引器辅助经脐单孔腹腔镜阑尾切除术的疗效。方法回顾性分析2021年1月至2024年6月在我院行经脐单孔腹腔镜阑尾切除术的124例患者资料,按照是否使用辅助装置分为对照组(66例,接受传统腹腔镜阑尾切除术)和研究组(58例,接受免气腹吸烟拉钩及腹壁多方位针样牵引器辅助经脐单孔腹腔镜阑尾切除术)。比较两组的手术相关指标、术后恢复相关指标、术后24 h感染指标、切口感染率、卫生经济学指标。结果与对照组相比,研究组的术中出血量减少,术后排气时间缩短,术后24 h CRP水平及住院费用明显降低,差异具有统计学意义(P<0.05)。两组手术时间、引流管留置率、术后拔管时间、术后住院时间、术后下床活动时间、术后24 h切口视觉模拟评分法(VAS)评分、白细胞计数(WBC)、中性粒细胞比例(N%)、降钙素原(PCT)水平及切口感染率比较,差异无统计学意义(P>0.05)。结论使用自主研发装置辅助进行单孔腹腔镜手术可减少患者的术中出血量,缩短术后排气及炎症消退时间,且未增加手术时间、术后疼痛及切口感染率,同时能降低住院费用。
文摘目的:探讨基于经脐单孔腹腔镜阑尾切除术(transumbilical single-Incision laparoscopic appendectomy,TU-SILA)的体外阑尾切除术的临床效果和短期预后。方法:回顾性收集2022年2月至2025年5月福建医科大学附属协和医院收治的76例行TU-SILA手术的阑尾炎患者的临床资料。根据手术方式分为体外切除组(n=31)和体内切除组(n=45)。对比两组临床资料及术后指标。结果:体内切除组术前C反应蛋白(C reactive protein,CRP)(25.46±6.22 vs 22.33±4.84 mg/L,P=0.021)及D-二聚体(0.93±0.25μg/mL vs 0.82±0.21μg/mL,P=0.048)高于体外切除组,两组其余临床资料比较,差异无统计学意义(P>0.05)。术后指标对比显示体外切除组手术时长显著缩短(41.65±11.17 min vs 56.86±22.91 min,P=0.000),术后24小时CRP水平更低(17.57±5.31 mg/L vs 38.19±7.24 mg/L,P=0.000),术后疼痛视觉模拟评分(Visual Analogue Scale,VAS)更低(2.62±0.44 vs 3.52±0.46,P=0.000)。两组住院总天数、住院总费用及并发症发生率(切口感染、残端瘘等)比较,差异无统计学意义(P>0.05),体外切除组无并发症发生。结论:基于TU-SILA的体外切除阑尾具有手术时间短、术后炎症反应轻、疼痛程度低等优势,不增加并发症风险及医疗成本。
基金Supported by National Key R and D Program of China-Key Special Project on Diagnostic and Therapeutic Equipment and Biomedical Materials,No.2023YFC2412005。
文摘BACKGROUND Endoscopic retrograde appendicitis therapy(ERAT)is an emerging technique.However,its efficacy remains uncertain,and postoperative complications often exacerbate inflammation,thereby increasing the difficulty of surgery.The use of ERAT in appendicitis remains contentious,prompting the presentation of this case report.CASE SUMMARY We report the case of a 43-year-old female patient presenting with intermittent right lower abdominal pain for one day.The patient had undergone ERAT six months previously.Examination revealed stent impaction in the appendix,leading to exacerbated inflammation.Subsequently,a solo single-incision laparo-scopic appendectomy(SSLA)was performed.The ERAT-related complications increased surgical difficulty and prolonged the operation time.Post-SSLA,the patient was hospitalized for one day and showed favorable recovery upon follow-up.CONCLUSION This case highlights the risks of ERAT.Thorough preoperative assessment,proper stent placement during surgery and regular postoperative follow-up are crucial in preventing complications,as their occurrence can increase surgical difficulty.Compared to ERAT,SSLA remains more widely used in clinical practice.Both techniques require further clinical data and research to optimize their application.
