改良经脐“单孔”腹腔镜胆囊切除术  

Improved Transumbilical Single-port Laparoscopic Cholecystectomy

作　　者：焦桂良[1] 蒋志龙[1] 徐建锋[1] 邱晶晶[1] 陆金亮[1] 程志荣[1] 曹兵[1] 耿忠泽[1] 

机构地区：[1]扬州大学医学院附属泰兴市人民医院普外科,江苏泰兴225400

出　　处：《华西医学》2013年第4期524-526,共3页West China Medical Journal

摘　　要：目的探讨改良的经脐单孔腹腔镜胆囊切除术的临床可行性。方法回顾性分析2009年2月-2012年4月75例患者行改良经脐单孔腹腔镜手术的临床资料。其中39例胆囊结石,20例胆囊息肉,急性胆囊炎14例,急性胆囊炎伴穿孔2例。结果 73例手术均成功完成,2例转为传统三孔腹腔镜胆囊切除术后顺利完成手术,无中转开腹。平均手术时间为54.4 min(23～120 min)。术中出血量5～30 mL,平均(14.9±5.10)mL。术后疼痛轻,恢复快,3 d后出院。随访1～10个月,未出现出血、漏胆、胆管损伤、消化道损伤、切口疝等并发症。且瘢痕隐蔽,不易发现。结论改良后的经脐单孔腹腔镜胆囊切除术安全可行,具有微创、经济、恢复快等优点,具有推广价值。Objective To discuss the clinical feasibility of improved transumbilical single-port laparoscopic cholecystectomy. Methods We retrospectively analyzed the clinical data of 75 patients undergoing transumbilical single-port laparoscopic surgery between February 2009 and April 2012. Among the patients, there were 39 cases of gallbladder stone, 20 of gallbladder polyp, 14 of acute cholecystitis, and 2 of acute cholecystitis perforation. Results Seventy-three patients underwent the surgery successfully. Two patients converted to the traditional three-hole laparoscopic cholecystectomy. There was no case converting to open surgery. The average surgical time was 54.4 min （23-120 min）. During the operation, the mean amount of bleeding was （14.9 -4- 5.10） mL （5-30 mL）. Postoperative pain was mild, and the patients rapidly recovered and were discharge 3 days after surgery. They were followed up for 1 to 10 months and there were no complications, such as bleeding, bile leakage, bile duct injury, digestive tract injury or incision hernia. And the scar was hidden and difficult to find. Conclusions Improved single-port laparoscopic cholecystectomy is a safe, feasible, minimally invasive, and economic surgical method. Patients undergoing this surgery can recover quickly. It has a promotion value, but it has higher requirements for surgeons and surgical instruments.

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]