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作 者:汪鑫 向涵 张伟 Wang Xin;Xiang Han;Zhang Wei(Chengdu Medical College,Chengdu Sichuan Province 610000,China;Department of Hepatobiliary Surgery,The People's Hospital of Jianyang City,Chengdu Sichuan Province 641400,China)
机构地区:[1]成都医学院临床医学院,成都610000 [2]简阳市人民医院肝胆外科,成都641400
出 处:《中华普外科手术学杂志(电子版)》2025年第2期133-133,共1页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基 金:四川省医院协会项目(2023LC001)。
摘 要:腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)是目前手术切除胆囊的标准术式。随着技术的发展,单孔腹腔镜胆囊切除术逐渐成为潮流。但由于“筷子效应”,单孔腹腔镜胆囊切除术在基层医院仍未普及。T型金属线联合超微创钳线辅助经脐单孔腹腔镜胆囊切除,能较充分的暴露胆囊三角,减少“筷子效应”,腹壁损伤小,初步应用安全有效,可辅助开展单孔腹腔镜胆囊切除术手术。本研究利用自制T型金属线及超微创钳辅助,可明显减少“筷子效应”,安全、便捷地完成单孔腹腔镜胆囊切除。laparoscopic cholecystectomy(LC)is currently a standard procedure for laparoscopic cholecystectomy.With the development of technology,single-hole laparoscopic cholecystectomy has gradually become a trend.However,due to the“chopstick effect”,single-hole laparoscopic cholecystectomy has not been widely carried out in basic hospitals.T-shaped metal wire combined with ultramicro wound clamp wire assisted transumbilical single-hole laparoscopic cholecystectomy can fully expose the gallbladder triangle,reduce the“chopstick effect”,and reduce the abdominal wall damage.The initial application is safe and effective,and can assist the implementation of single-hole laparoscopic cholecystectomy.In this study,with the help of self-made T-shaped metal wire and ultramicro wound forceps,the“chopstick effect”can be significantly reduced,and the single-hole laparoscopic cholecystectomy can be completed safely and conveniently.
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