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常规腹腔镜器械在经脐单孔腹腔镜结直肠手术中的应用 被引量:18

Application of Conventional Laparoscopic Instruments in Transumbilical Single Incision Laparoscopic Surgery in Colorectal Diseases
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摘要 目的探讨利用常规腹腔镜器械完成经脐单孔腹腔镜结直肠手术的可能性和技术要点。方法收集中国医科大学附属盛京医院微创外科于2009年4月至2010年1月期间施行的12例经脐单孔腹腔镜结直肠手术的临床资料。阑尾炎8例,均为女性,平均年龄40岁;回盲部肿物2例,均为女性,其中1例为回盲部淋巴水瘤(68岁),另1例为回盲部溃疡性结肠炎(47岁);乙状结肠息肉1例,女,55岁;直肠癌1例,男,52岁。12例均于脐部行2.5~3.0 cm长单切口,利用常规腹腔镜手术器械完成手术。结果 8例阑尾手术,手术时间20~50min,出血量均少于10ml;2例回盲部切除术手术时间分别为60min和90min,出血量分别为10 ml和20ml;1例乙状结肠切除术用时120min,术中出血约50ml,术后4 d拔除引流管;直肠癌手术时间210min,术中出血少于200ml,术后1周拔除引流管并出院。结论利用常规腹腔镜手术器械完成经脐单孔腹腔镜结直肠手术安全可行。
出处 《中国普外基础与临床杂志》 CAS 2010年第12期1310-1311,共2页 Chinese Journal of Bases and Clinics In General Surgery
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参考文献15

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