使用普通腹腔镜器械行经脐腹腔镜胆囊切除术  

Transumbilical Laparoscopic Cholecystectomy with Routine Laparoscopic Instruments

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

机构地区：[1]徐州市肿瘤医院普外科,徐州221005

出　　处：《中国微创外科杂志》2015年第3期276-277,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：本文报道2010年2月-2014年4月122例单纯胆囊良性疾病使用普通腹腔镜器械行经脐腹腔镜胆囊切除术。脐周呈倒三角形置入3个trocar,使用30°腹腔镜和普通腹腔镜抓钳、电钩、钛夹完成胆囊切除术,不留置引流。手术均获成功,手术时间35-80 min,（45.0±9.3）min,术后脐部切口隐蔽、美观。全组术后随诊1-12个月,（6.3±1.2）月,无胆漏、胆道狭窄及残石、脐疝等并发症。Clinical data of 122 patients who underwent transumbilical laparoscopic cholecystectomy with routine laparoscopic instruments from Febrary 2010 to April 2014 were analyzed retrospectively. Three trocars were introduced periumbilically at the sites of apexes of an inverted triangle. By using a 30° laparoscope and laparoscopic forceps, electric hook, and titanium clips, the cholecystectomy was completed without indwelling drainage. All the operations were successfully performed. The mean operative time was（ 45. 0 ± 9. 3） min（ range,35- 80 min）. Umbilical scar wasn＇t obvious. The cases were followed up for 1- 12 months（ 6. 3 ±1. 2 months）,during which no biliary leakage,residual stones,biliary stenosis,or umbilical hernia occurred.

关 键 词：经脐入路 腹腔镜胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]