摘要
目的总结使用曲线型腹腔镜器械免夹经脐单孔腹腔镜胆囊切除术的操作体会。方法回顾性分析我院22例经脐单孔腹腔镜胆囊切除患者的临床资料。结果本组22例均通过曲线型腹腔镜器械及推结器经脐行单孔免夹LC取得成功,均未放置引流。手术时间平均62.4(50～110)min;出血平均36.8(10～120)ml。无漏胆、出血、脐疝、切口感染等并发症发生,住院4～6 d,术后平均随访1.3个月(2周～2个月),几乎无腹壁疤痕。结论经脐免夹单孔LC安全、可行,微创效果更佳,使用推结器降低了单孔腹腔镜操作难度,节省了耗材费用,可在临床工作中推广。
Objective To investigate the method and experiences of single umbilical port and free clip laparoscopic cholecystectomy with curve type instruments.Method The clinical data of 22 patients received single port and free clip transumbilical laparoscopic cholecystectomy were analyzed retrospectively.Results 22 cases were performed successfully with laparoscopic instruments and endoscopic knot pusher by single umbilical port laparoscopic cholecystectomy without drainage.Operative time was 50 to 110 min（average 62.4 min）;bleeding volume was 10 to 120 ml（average 36.8 ml）.No complications,such as biliary leakage,hemorrhage,umbilical hernia and infection of incision happened.The hospitalization was 4 to 6 days.The postoperative abdominal wall scar was not obvious after 2 weeks to 2 months following-up.Conclusions The single umbilical port and free clip laparoscopic cholecystectomy is safe,feasible and mini-invasive.Using curve type instruments and endoscopic knot pusher can reduce the difficulty of single port laparoscopic operation,and save the consumables expenses.So it would be applied as clinical promotion.
出处
《中国现代手术学杂志》
2011年第2期92-94,共3页
Chinese Journal of Modern Operative Surgery
关键词
胆囊切除术
腹腔镜
cholecystectomy
laparoscopic
