经脐单孔腹腔镜胆囊切除术64例报告  

Transumbilical Single-port Laparoscopic Cholecystectomy:Analysis of 64 Cases

作　　者：王国庆[1] 骆成玉[1] 丁毅[1] 吴璇[1] 

机构地区：[1]首都医科大学附属复兴医院普外科,北京100038

出　　处：《中国微创外科杂志》2011年第7期596-597,611,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的评价经脐单孔腹腔镜胆囊切除术的可行性。方法2009年7月～2010年10月，对胆囊息肉样病变14例、胆囊结石伴慢性胆囊炎50例行经脐单孔腹腔镜胆囊切除术。脐部做-2em弧形切口，置入R—Port单孔多通道套管（康基公司生产），建立CO：气腹，使用5mm腹腔镜及硬质弯曲组织分离钳及电钩，完成胆囊切除。结果64例手术均获得成功。第1例手术时间为90rain，第2、3例手术时间均为65min，余61例38～62min，（46．5±2．4）min。不放置引流管，术后未发生出血及胆漏等并发症。术后3～5天出院，脐部无明显手术瘢痕。术后随访2周～17个月，平均6．5月，无切口感染、脐疝、腹腔积液等并发症发生。结论经脐单孔腹腔镜胆囊切除术具有并发症少、住院时间短。Objective To evaluate the feasibility of transumbilical single-port laparoscopic cholecystectomy （LC）. Methods From July 2009 to October 2010, we performed transumbilical single-port LC on 64 patients with gallbladder diseases, including polyp of the gallbladder （14 cases） and gallbladder stones complicated with chronic cholecystitis （50 cases）. We made a 2-cm curve incision at the umbilical region to insert R-Port and then established CO2 pneumoperitoneum to complete LC （5-mm laparoscope was employed）. Results All the 64 operations were successfully performed without postoperative complications. The operation time of our first case was 90 min, 65 min in the second and third cases, and in the following 61 cases, the mean operation time was （46.5 ± 2.4） min （ranged from 38 to 62 min）. No abdominal drainage was used in our patients,and no hemorrhage or bile leakage occurred afterwards. The patients were discharged from hospital in 3 to 5 days after the operation, and then were followed up for 2 weeks to 17 months with a mean of 6.5 months. No patient developed incisional infection, umbilical hernia or seroperitoneum. Conclusions Transumbilical single-port laparoscopic cholecystectomy is characterized by low rate of complications, short hospitalization, less pain and rapid recovery.

关 键 词：经脐手术 单孔 胆囊切除术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]