U形钛镍合金线辅助经脐单孔腹腔镜胆囊切除术236例疗效分析  

U-shaped titanium nickel alloy wire assisted transumbilical single port laparoscopic cholecystectomy:efficacy analysis of 236 patients

作　　者：陈淋 卢攀 李凯[2] 易明超 郎成 汪鑫 张伟 CHEN Lin;LU Pan;LI Kai(School of Clinical Medicine,Southwest Medical University,Luzhou 646000,China;Department of Hepatobiliary Surgery,Jianyang People's Hospital)

机构地区：[1]西南医科大学临床医学院,四川泸州646000 [2]简阳市人民医院肝胆外科 [3]成都医学院临床医学院

出　　处：《腹腔镜外科杂志》2024年第10期753-757,共5页Journal of Laparoscopic Surgery

摘　　要：目的:分析U形钛镍合金线辅助经脐单孔腹腔镜胆囊切除术的应用效果。方法:纳入2023年6月至2023年9月采用U形钛镍合金线辅助行经脐单孔腹腔镜胆囊切除术的胆囊结石患者,统计手术时间(麻醉开始到缝合结束)、U形钛镍合金线组装时间、术中并发症、增加Trocar数量、术后住院时间、术后并发症、住院费用等指标。结果:236例患者行U形钛镍合金线辅助经脐单孔腹腔镜胆囊切除术,U形线组装时间1.5(1.2,2.0)min,手术时间50.0(42.0,60.0)min,术中出血5.0(5.0,5.0)mL,无中转开腹,2例术中额外加孔。术后住院20(17,24)h,其中24 h内出院173例(73.3%)。术后并发症发生率为22.0%,术后疼痛发生率为15.7%,恶心呕吐发生率3.8%。随访最长约12个月,无切口疝、迟发型胆道狭窄发生,切口瘢痕隐匿。结论:U形钛镍合金线辅助经脐单孔腹腔镜胆囊切除术可充分暴露胆囊三角,减少筷子效应,腹壁损伤小,初步应用安全、有效。Objective:To analyze the application effect of U-shaped titanium nickel alloy wire assisted transumbilical single port laparoscopic cholecystectomy.Methods:From Jun.2023 to Sep.2023,patients with gallstones who underwent transumbilical single port laparoscopic cholecystectomy assisted by U-shaped titanium nickel alloy wire were included in this study.The operation time(from anesthesia start to suture end),assembly time of U-shaped titanium nickel alloy wire,intraoperative complications,increase in Trocar number,postoperative hospital stay,postoperative complications,hospitalization expenses,and other indicators were recorded.Results:A total of 236 patients underwent U-shaped titanium nickel alloy wire assisted transumbilical single port laparoscopic cholecystectomy.The assembly time of the U-shaped wire was 1.5(1.2,2.0)min,the operation time was 50.0(42.0,60.0)min,intraoperative blood loss was 5.0(5.0,5.0)mL.There was no conversion to open surgery,and only 2 cases had additional trocar added during the operation.The postoperative hospital stay was 20(17,24)h,173 patients(73.3%)were discharged within 24 h after surgery.The postoperative complication incidence was 22.0%,postoperative pain accounted for 15.7%and nausea and vomiting accounted for 3.8%.The longest follow up was 12 months,no incisional hernia or late-onset biliary stenosis occurred,the incisional scars were hidden.Conclusions:U-shaped titanium nickel alloy wire assisted transumbilical single port laparoscopic cholecystectomy can fully expose the gallbladder triangle,reduce chopstick effect,minimize abdominal wall damage,and is initially safe and effective.

关 键 词：胆囊结石病 胆囊切除术 腹腔镜 经脐 单孔 U形钛镍合金线 

分 类 号：R657.4[医药卫生—外科学]