经脐单孔腹腔镜胆囊切除术120例回顾性分析  

Transumbilical Single-Port laparoscopic cholecystectomy:experience of 120 cases

作　　者：郭伟[1] 张忠涛[1] 韩威[1] 金岚[1] 刘军[1] 赵晓牧[1] 李建设[1] 王宇[1] 

机构地区：[1]首都医科大学附属北京友谊医院普外科,北京100050

出　　处：《中国实用外科杂志》2010年第4期304-306,317,共4页Chinese Journal of Practical Surgery

基　　金：北京市科技新星计划(2008A086)

摘　　要：目的总结经脐单孔腹腔镜胆囊切除术的手术经验及技术改进。方法回顾性分析首都医科大学附属北京友谊医院2008年5月至2009年12月120例经脐单孔腹腔镜胆囊切除术病人的临床资料。结果1例(0.8%)因胆囊周围粘连严重中转常规腹腔镜胆囊切除术(4孔)。平均手术时间28～145(58.5±23.7)min,平均术中出血量2～100(15.3±8.6)mL,术后平均住院1.3(1～3)d,除4例出现切口脂肪液化,经换药后愈合外,其余病例伤口愈合良好,瘢痕隐蔽不易发现,美容效果满意。随访1～17个月,无胆漏、出血、胆管损伤、切口疝等严重并发症。结论经脐单孔腹腔镜胆囊切除术安全可行,具有"无瘢痕"、恢复快等优势,但是对技术和设备要求较高,必须不断改进,而且须严格选择病例。Objective To evaluate the outcomes of transumbilical single-port laparoscopie cholecysteetomy and review the technique improvement. Methods From May 2008 to Dee. 2009, 120 cases transumhilieal single-port laparosenpic cholecystectomy were performed in our hospital. The clinical data and surgical outcomes were retrospectively reviewed. Results Ohe palieut （0.8%） was converted tn traditional laparoscopic choleeystectomy （4 ports） due to perigallbladder adhesion. The mean operating time was 58.5±23.7min （28-145min）. The mean blood loss was 15.3±8.6ml （2-100ml）. The mean pnst,perative hospital slay was 1.3 （range, 1-3d） days. All the incisions except 4 were healed well and the surgical scar was satisfied and virtually coneealed within the umbilicus. No postoperative eomplieati,ms were observed at follow-up 1-17 mnnths. Conclusions Transumbilical single-port laparoseopie ehnlecystectomy is feasible when patients were well selected.

关 键 词：NOTES 腹腔镜胆棠切除术 单孔 

分 类 号：R6[医药卫生—外科学]