普通腹腔镜器械经脐单一部位行腹腔镜胆囊切除术121例报告  

Transumbilical single-site laparoscopic cholecystectomy with regular equipment: a clinical analysis of 121 cases

作　　者：丁轶人 江涌[1] 赵伟[1] 葛玮[1] 高广璧 谭梦志[1] 

机构地区：[1]徐州市肿瘤医院,江苏徐州221005

出　　处：《腹腔镜外科杂志》2014年第8期600-602,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨使用普通腹腔镜器械经脐单一部位行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的安全性、可行性及临床应用价值。方法:回顾分析2010年2月至2012年12月为121例胆囊良性疾病患者使用普通腹腔镜器械经脐单一部位行LC的临床资料。结果:121例手术均获成功,手术时间35~80 min,平均(45.0±9.3)min,患者术后疼痛轻、康复快、脐部切口隐蔽,达到了良好的腹壁无痕效果。术后随访1~12个月,平均(6.3±1.2)个月,无胆漏、胆道狭窄及残石、脐疝等并发症发生。结论:使用普通腹腔镜器械经脐单一部位行LC是安全、可行的,具有经济实用、患者创伤小、康复快、腹部切口美观等优点,值得临床推广。Objective：To investigate the safety, feasibility and value of transumbilical single-site laparoscopic cholecystectomy with regular equipment. Methods：The clinical data of 121 patients who underwent transumbilical single-site laparoscopic cholecystecto- my with regular equipment from Feb. 2010 to Dec. 2012 were analyzed retrospectively. Results：All transumbilical single-site operations were successfully performed. The mean operative time was （45.0 ± 9.3 ） min, with a range from 35 to 80 rain. All patients recovered rapidly with slight pain. Umbilical scar wasn＇t obvious. The cases were followed up from 1 to 12 months [ mean, （6.3 ±1.2） months], during which no biliary leakage,bihary stenosis,residual stones ,nor umbilical hernia occurred. Conclusions ：Transumbilieal single-s^te laparoscopic cholecystectomy with regular equipment is safe and feasible, economical, practical, minimally invasive and effective with rapid recovery and good cosmetic results. It can be gradually introduced to hospitals with available resources.

关 键 词：胆囊切除术 腹腔镜 经脐 单一部位 

分 类 号：R657.4[医药卫生—外科学]