经脐单孔腹腔镜胆囊切除术68例临床体会  

Transumbilical single-port laparoscopic cholecystectomy: a clinical analysis of 68 cases

作　　者：高骥[1] 孙长华[1] 石毅[1] 白剑峰[1] 

机构地区：[1]南京医科大学第一附属医院,江苏南京210029

出　　处：《腹腔镜外科杂志》2015年第4期293-295,共3页Journal of Laparoscopic Surgery

摘　　要：目的：探讨总结经脐单孔腹腔镜胆囊切除术（single incision laparoscopic cholecystectomy,SILC）的可行性、临床疗效及应用价值。方法：回顾分析2011年7月至2014年8月为68例良性胆囊疾病患者行SILC的临床资料,其中胆囊结石45例,胆囊息肉23例。结果：68例患者中64例成功完成手术,4例因胆囊三角暴露不清改为传统四孔法腹腔镜胆囊切除术。无一例中转开腹。手术时间30-135 min,平均（57.6±18.5）min;术中出血量5-40 ml,平均（10.0±2.7）ml;术后住院2-3 d,平均（2.3±0.2）d。术后均未出现出血、胆漏等并发症发生。结论：在严格掌握适应证的基础上行SILC是安全、可靠的。SILC具有患者创伤小、术后康复快、美容效果佳等优点,更加符合微创手术的目的,满足了患者的心理需求,具有广阔的应用前景。Objective： To investigate the feasibility, clinical effect and application value of transumbilical laparoscopic cholecystectomy （LC） using a single Trocar. Methods：The clinical data of 68 patients undergoing transumbilical single-port LC from Jul. 2011 to Aug. 2014 were retrospectively analyzed,including 45 cases of gallstone and 23 cases of gallbladder polyps. Results：In all the cases, 64 operations were performed successfully without conversion to conventional laparoscopic surgery or open surgery. The other four cases were converted to traditional four-port LC because of unclear anatomy at Calot triangle. Total operative time was 30-135 min, with the average of （57.6 ± 18.5 ） min ;blood loss was （10.0 ± 2.7 ） ml （range,5-40 ml） ;postoperative hospital stay was 2-3 d, with the aver age of （2.3 ± 0.2） d. All patients had a good postoperative recovery, without bleeding, bile leakage or other complications. Conclu sions：Based on strict indications, transumbilical single-port LC is safe and reliable. It is minimally invasive with quick postoperative recovery and good cosmetic outcomes, which achieves the goal of minimally invasive surgery and the psychological need of patients. So that,transumbilical single-port LC has broad application prospects.

关 键 词：胆囊结石病 胆囊息肉 胆囊切除术 腹腔镜 经脐 单孔 

分 类 号：R657.4[医药卫生—外科学]