经脐单孔腹腔镜胆囊切除术  

The transumbilical single-port laparoscopic cholecystectomy

作　　者：李美荣[1] 陈伟强[1] 向青锋[1] 张锐江[1] 吴桂堂[1] 李均贤[1] 郑进洪[1] 王洛平[1] 

机构地区：[1]广东医学院附属陈星海医院,广东中山528415

出　　处：《腹腔镜外科杂志》2011年第2期102-103,共2页Journal of Laparoscopic Surgery

摘　　要：目的：探讨经脐单孔腹腔镜胆囊切除术的可行性及临床应用。方法：回顾分析为22例患者行右上腹弹道碎石杆辅助经脐单孔腹腔镜胆囊切除术的临床资料。结果：19例经脐腹腔镜胆囊切除术取得成功。手术时间35～125min，平均52min。3例因胆囊显露不清或术中解剖困难改行三孔法完成手术，所有病例均无并发症发生。结论：经脐腹腔镜胆囊切除术安全可行，具有美容效果好，患者创伤小等优点。因此术式操作难度较大，开展手术初期应慎重选择病例。Objective：To evaluate the feasibility and clinical application of transumbilical single-port laparoscopic cholecystectomy. Methods ： The clinical data of 22 patients who underwent the single-port laparoscopic cholecysteetomy were retrospectively analyzed. The procedure was performed with the aid of lithoclast probes which were placed at the right upper abdomen. Results： Nineteen cases of transumbilical single-port laparoscopie cholecystectomy were successfully performed. The operative time was 35-125min （average 52rain）. Three patients were converted to 3-port laparoseopy due to uncleady exposed or difficultly dissected gallbladder. No com- plications were found in all cases. Conclusions ： Transumbilical single-port laparoscopic cholecystectomy with the aid of lithoclast probes is a safe and feasible operation. More importantly,it has the advantages of better cosmesis and fewer traumas. However, the performance of this operation is difficult, so the patients should be carefully selected in the elementary stage of carrying out this operation.

关 键 词：经脐 单孔 胆囊切除术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]