经脐单一部位腹腔镜胆囊切除术中扶镜助手与术者的配合  

Cooperation Between Operator and Assistant in Transumbilical Laparoscopic Single-site Cholecystectomy

作　　者：李勇男[1] 吴硕东[1] 陈永生[1] 韩金岩[1] 于晓鹏[1] 吕超[1] 

机构地区：[1]中国医科大学附属盛京医院普通外科,沈阳110004

出　　处：《中国微创外科杂志》2015年第9期849-851,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的总结经脐单一部位腹腔镜胆囊切除术中扶镜助手与术者配合的技巧。方法收集2010年3月-2012年9月于我病房行经脐单一部位腹腔镜胆囊切除术92例资料。所有手术由同一术者及扶镜助手完成。结果手术均获成功,无中转多孔或开腹手术,手术时间（53.9±15.5）min,无并发症发生。结论操作者不仅要遵循进退有序的原则,同时还要注意摄像导线手柄、光源电缆及气腹导管之间的相互纠缠。在显露术野的时候要充分利用好每一个空间,灵活处理镜头与两把操作器械之间的关系,将镜头置于两把操作器械之间或一侧,以便获得更佳的视野。Objective To summarize cooperation skills between operator and assistant in transumbilical laparoscopie single- site cholecystectomy. Methods Clinical data of 92 patients who underwent transumbilical laparoscopic single-port choleeystectomy in our department were selected. All the surgeries were completed successfully by the same operator and assistant. Results No conversion to open surgery or multiple-port laparoscopie cholecystectomy was required. The mean time of operation was （53.9 ± 15.5） min, and there was no surgical eomplications. Conclusion The operator and assistant should follow the principle of ＂move only two＂ and take full advantages of camera and operating apparatus to obtain the best exposure.

关 键 词：腹腔镜胆囊切除术 单一部位腹腔镜手术 

分 类 号：R657.4[医药卫生—外科学]