应用传统器械行单切口腹腔镜胆囊切除术  

Single-incision laparoscopic cholecystectomy using conventional instruments

作　　者：毛忠琦[1] 周晓俊[1] 殷骏[1] 徐露[1] 朱政[1] 陈昕[1] 钱海鑫[1] 

机构地区：[1]苏州大学附属第一医院腹腔镜外科,215006

出　　处：《江苏医药》2011年第4期416-418,共3页Jiangsu Medical Journal

基　　金：江苏省自然科学基金(BK2007057)

摘　　要：目的探讨应用传统腹腔镜器械行单切口腹腔镜胆囊切除术(SILC)的可行性和安全性。方法回顾性分析48例SILC(SILC组)和常规三孔法传统腹腔镜胆囊切除术(LC组)50例的临床资料,比较手术效果和术后并发症。结果两组病例无中转开腹、无胆道损伤。SILC组48例顺利完成手术,其中46例(95.8%)术中辅以右侧肋缘下经皮穿刺缝合胆囊底浆膜层悬吊,用于牵引和暴露。SILC组的手术时间明显长于LC组(45 min vs.30 min)(P<0.05),术后疼痛评分略高于LC组,其他各项指标的差异均无统计学意义。结论应用传统腹腔镜器械开展SILC安全可行。Objective To investigate the feasibility and safety of single-incision laparoscopic cholecystectomy（SILC） using conventional laparoscopic equipment.Methods Data from consecutive 48 patients underwent SILC（group SILC） and 50 cases underwent conventional three-hole laparoscopic cholecystectomy（group LC） were retrospectively analyzed and surgical outcomes were compared.Results There were no conversions to open surgery and duct injury in both groups.The operations were all successfully performed in 48 cases of group SILC,of whom 46 cases（95.8%） were helped with transcutaneous puncture below right rib edge for gallblad suture.Operative time was significantly longer in group SILC than that in group LC（45min vs.30min）（P0.05）.Postoperative pain was slightly more in group SILC than that in group LC.No significant difference in complications was found between two groups.Conclusion SILC using conventional laparoscopic instruments is feasible and safe.

关 键 词：腹腔镜胆囊切除术 

分 类 号：R651[医药卫生—外科学]