改良KARL-STORZ单孔腹腔镜系统行胆囊切除术的临床应用  

Clinical Application of Modified Transumbilical Single-port Laparoscopic Cholecystectomy under KARL-STORZ System

作　　者：祖存[1] 姚芹雪[1] 张树兵[1] 杨云云[1] Zu Cun;Yao Qinxue;Zhang Shubin;Yang Yunyun(Department of General Surgery,the 1^st Outpatient Department of Chengdu Military Command,Chengdu,Sichuan Province,610011,P. R. China)

机构地区：[1]成都军区机关第一门诊部

出　　处：《西南军医》2019年第4期309-311,共3页Journal of Military Surgeon in Southwest China

基　　金：成都军区医学科学技术研究十二五课题(编号:C14053)

摘　　要：目的探讨改良KARLSTORZ单孔腹腔镜系统行胆囊切除术的临床应用价值。方法对2014年3月至2017年10月120例接受改良KARLSTORZ单孔腹腔镜系统行胆囊切除术患者的临床资料进行回顾性分析,评价其临床应用效果及价值。结果120例手术均获成功,其中96例实现单孔,手术时间30-160min,平均62min。无并发症发生。术后平均3d出院,患者对治疗及美容效果满意。结论改良KARLSTORZ单孔腹腔镜系统行胆囊切除术安全可行,但与传统腹腔镜胆囊切除术相比,操作难度增加,对术者技术要求较高。术后3月腹壁无明显可见瘢痕,美容效果突出,具有临床推广价值。Objective To explore the clinical application value of modified transumbilical single - port laparoscopic cholecystectomy (TUSPLC) under KARL - STORZ System. Methods A retrospective analysis was made to the clinical data of 120 cases undergoing TUSPLC under KARL - STORZ System;the clinical application value and clinical effect were discussed. Results Surgery success was gained in all the 120 cases and 96 cases had the laparoscopic cholecystectomy with single port;the operation duration lasted from 30 min to 160 min with the average of 62 min;no post - operative complications occurred;the average discharge time was 3 days;the cases were satisfied with the curative effect and cosmetic result. Conclusions The modified TUSPLC under KARL - STORZ system is worthy of wider clinical application;safe and feasible with no obvious scars on the abdominal wall 3 months after surgery and good cosmetic effect while it is of a greater complication in operation and a higher requirement of skills for surgeons.

关 键 词：KARLSTORZ 胆囊切除术 腹腔镜 单孔 经脐 

分 类 号：R657.4[医药卫生—外科学]