完全经脐单孔腹腔镜胆囊切除术10例报告  

Totally transumbilical single-port laparoscopic cholecystectomy:a report of 10 cases

作　　者：韩金岩[1] 吴硕东[1] 田雨[1] 

机构地区：[1]中国医科大学附属盛京医院胆道血管外科,辽宁沈阳110004

出　　处：《中国实用外科杂志》2010年第7期587-589,共3页Chinese Journal of Practical Surgery

摘　　要：目的探讨完全经脐单孔腹腔镜胆囊切除术的可行性及应用前景。方法报告2009年5～6月中国医科大学附属盛京医院胆道血管外科施行的10例完全经脐单孔腹腔镜胆囊切除术的手术方法及临床效果,并对国内外相关文献进行回顾。结果 10例手术均获成功,无一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40.0min。术后无出血、胆汁漏等并发症发生,病人恢复良好,对治疗及美容效果满意。结论完全经脐单孔腹腔镜胆囊切除术在技术上是安全可行的,但较传统腹腔镜胆囊切除术而言其操作难度增加,近远期临床疗效和手术风险需要进一步的临床随机对照研究来证实。Objective To evaluate the clinical feasibility and applying prospect of totally transumbilical single-port laparoscopic cholecystectomy. Methods Ten well-selected patients underwent single-port laparoscopic cholecystectomy totally through umbilicus between May 2009 and June 2009 at Shengjing Hospital of China Medical University. Results All the operations were successfully completed without conversion to conventional laparoscopic or open cholecystectomy. Average surgery time was 40.0 minutes （20-65minutes）. 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. Conclusion Single-port laparoscopic performed totally through umbilicus is technically feasible and safe when performed by skilled laparoscopic surgeons, tiomparing with conventional laparoscopic cholecystectomy, it＇s more manipulatively difficult, and it also has to be determined whether the new approach would benefit patients by clinical randomized studies.

关 键 词：单孔入径手术 单切口腹腔镜手术 腹腔镜胆囊切除术 

分 类 号：R6[医药卫生—外科学]