经脐单孔腹腔镜胆总管切开取石术  

Transumbilical laparoscopic single-port choledocholithotomy

作　　者：吴硕东[1] 田雨[1] 苏洋[1] 陈永生[1] 韩金岩[1] 

机构地区：[1]中国医科大学附属盛京医院胆道、血管外科,沈阳110004

出　　处：《中华消化外科杂志》2010年第4期295-297,共3页Chinese Journal of Digestive Surgery

基　　金：辽宁省科学技术计划项目（2005225007）

摘　　要：目的 探讨经脐单孔腹腔镜胆总管切开取石术治疗胆总管结石的可行性和安全性.方法 回顾性分析2010年1月至6月中国医科大学附属盛京医院收治的4例经脐单孔腹腔镜胆总管切开取石术患者的临床资料,总结其手术方法及手术效果.结果 4例患者手术均获得成功,平均手术时间100 min,平均失血量62.5 ml,术后1例出现腹腔感染再次手术引流痊愈,余无并发症发生.结论 经脐单孔腹腔镜胆总管切开取石术治疗胆总管结石安全可行,但需要严格掌握适应证.Objective To investigate the feasibility and safety of transumbilical laparoscopic single-port choledocholithotomy in the treatment of common bile duct stones. Methods The clinical data of four patients who underwent transumbilical laparoscopic single-port choledocholithotomy at Shengjing Hospital of China Medical University from January to June, 2010 were retrospectively analyzed. The operation method and postoperative effects were reviewed. Results All the operations were successfully carried out. The mean operation time was 100 minutes and the mean blood loss was 62. 5 ml. All patients were cured without the occurrence ofcomplications except for one patient who had a peritoneal infection and was cured after surgical drainage. Conclusion Transumbilical laparoscopic single-port choledocholithotomy is safe and feasible, but indications should be strictly followed.

关 键 词：经自然腔道内镜手术 脐 外科手术 微创性 胆总管切开取石术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]