利用传统器械进行经脐单孔腹腔镜胆囊切除术31例体会  

Experience of Trans-Umbilical Single-Incision Laparoscopic Cholecystectomy with Traditional Instruments ： 31 Case Report

作　　者：许东[1] 姜洪磊[1] 于浩[1] 马冬岩[1] 金俊哲[1] 

机构地区：[1]中国医科大学附属第四医院第二普通外科,辽宁沈阳110032

出　　处：《医学临床研究》2015年第10期1892-1893,共2页Journal of Clinical Research

基　　金：辽宁省教育厅科学研究一般项目（L2012272）;辽宁省科学技术计划项目（201225019）

摘　　要：【目的】探讨利用传统器械进行单孔腹腔镜胆囊切除术的安全性和可行性。【方法】回顾性分析31例利用传统器械进行经脐单孔腹腔镜胆囊切除术患者的手术方式、术后恢复情况。【结果131例患者手术过程顺利，手术时间40-205min，平均（88．9±34．7）min，术后无出血、胆汁瘘、切口疝等并发症发生，术后住院天数2～6d，腹部无明显瘢痕。【结论】利用传统器械进行经脐单孔腹腔镜胆囊切除术安全、有效、美观，具有可行性，值得推广。[Objective]The objective of this study is to discuss the security and feasibility of trans-umbilical single-incision laparoscopie cholecystectomy with the use of traditional instruments. [Methods]Retrospec tive analysis of the Modus Operandi and posvoperative recovery of 31 patients who received trans-umbilical single-incision laparoscopic cholecystectomy with traditional instruments was conducted.[Results]The operation process went smoothly in all of the 31 patients with the time of operation between 40 and 205 minutes （mean 88.9 ± 123.6 min）. There were no complications like bleeding, biliary fistula, or incisional hernia postoperation. The length of stay in hospital after the operation was between two to six days, with no obvious scar on the napes. [Conclusion]Trans-umbilical single-incision laparoscopic cholecystectomy with traditional instruments is therefore deemed safe, feasible, effective, and beautiful.

关 键 词：胆囊切除术 腹腔镜/仪器和设备 胆囊切除术 腹腔镜/方法 

分 类 号：R657.4[医药卫生—外科学]