经脐单孔腹腔镜胆囊切除术5例体会  

Experiences of transumbilical single port laparoscopic cholecystectomy in 5 cases

作　　者：胡霜久 黄德胜[1] 李浩[1] 查炜[1] 余宜平 

机构地区：[1]安徽省安庆市第一人民医院普外科,246003

出　　处：《蚌埠医学院学报》2012年第1期35-37,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨常规腹腔镜器械经脐单孔腹腔镜胆囊切除术的可行性及操作体会。方法:对4例胆囊结石和1例胆囊息肉,用常规腹腔镜器械行经脐单孔腹腔镜胆囊切除术。结果:5例手术均获成功,未放置引流管,无出血及胆漏等并发症发生,术后第3天出院;术后随访脐部无明显手术瘢痕。结论:使用常规腹腔镜器械行经脐单孔腹腔镜胆囊切除术临床是可行的,但操作难度较常规腹腔镜胆囊切除术大,术后腹壁瘢痕不明显,适用于对美容效果有较高要求的患者。Objective：To explore the experience and feasibility of transumbilical single port laparoscopic cholecystectomy（TUSPLC）.Methods：TUSPLC was performed in 5 patients with gallbladder disease（4 cases of calculus and 1 cases of polyps）.Results：Transumbilical single port laparoscopic cholecystectomy was performed successfully in 5 patients.Patients were discharged from hospital 3 days after operation without complications such as bleeding and bile leakage.No significant operation scar was found in umbilical region of patients after laparoscopic cholecystectomy.Conclusions：Transumbilical single port laparoscopic cholecystectomy can be completed safely by normal laparoscopic instrument.Tile umbilical scar was not obvious after operation.But transumbilical single port laparoscopic cholecystectomy is more difficult than conventional laparoscopic cholecystectomy.TUSPLC should be indicated for the patients with higher cosmetic demand.

关 键 词：胆囊切除术 腹腔镜 经脐手术 单孔 

分 类 号：R657.4[医药卫生—外科学]