摘要
目的：探讨悬吊式经脐入路腹腔镜手术的可行性与临床价值。方法：回顾分析为20例患者行悬吊式经脐入路腹腔镜手术的临床资料，其中包括胆囊结石6例，胆囊息肉2例，宫外孕4例，卵巢囊肿4例，子宫肌瘤3例，胆囊结石合并输卵管积水1例.结果：l例术中钛夹滑脱致胆囊动脉出血，改为3孔法辅以低压气腹完成手术，余19例顺利完成。胆囊切除时间平均44min，平均出血14ml；附件手术时间平均32min，平均出血28ml；子宫肌瘤手术时间平均65min，平均出血lOOml。标本从脐部或阴道取出，未放置引流管一术后无出血、胆漏、邻近脏器损伤、背部疼痛及尿潴留等并发症发生，腹部疼痛轻，未用镇痛药物，腹壁无明显的切口瘢痕，患者康复快，术后3～5d出院？结论：悬吊式经脐入路腹腔镜手术安全可行，微创优势更加明显，值得临床推广应用。
Objective：The purpose of this study is to investigate the feasibility and clinical value of suspended transumbilieal laparoscopic operation. Methods ：The retrospective analysis was made on the clinical data of 20 cases of suspended transumbilical laparoscopic operation （6 cases of cholecystolithiasis,2 cases of eholecystic polyp,4 cases of ectopic pregnancy,4 cases of ovarian cyst,3 cases of hysteromyonm, 1 ease of cholecystolitbiasis and hydrosalpinx）. Results ： Gallbladder arterial hemorrhage happened in 1 ease, caused by the slip of titanium clip. Then,the operation was performed using three-port approach with low-pressure pneumoperitoneum. The other 19 patients were treated successfully. The mean operation time of cholecysteetomy was 44min, and the mean intraoperative blood loss was 14ml. The mean time of adnexa uteri operation was 32rain, and the mean intraoperative bleeding was 28ml. The mean time of hysteromyoma operatiou was 65rain,and the mean intmoperative bleeding was 100ml. The specimen was taken out through the umbilicus or vagina. No drainage tube was placed. There was no postoperative hemorrlmge, bile leakage, nearby organ injury or visible scar on the abdominal wall. And there was no urosehesis or backache,but only a little abdominal pain with no use of analgesics. The pa- tients recovered rapidly and left the hospital on the 3rd-5th day after operation. Conclusions：Suspended transumbilical laparoscopic op- eratinn is feasible and safe. It has evident superiority of minimal invasion,and it is worthy of clinical application and generalization.
出处
《腹腔镜外科杂志》
2011年第2期107-109,共3页
Journal of Laparoscopic Surgery
关键词
悬吊
经脐
腹腔镜检查
Suspended
Transumbilicus
Laparoscopy
