摘要
目的:探讨运用X-cone单孔器械完全经脐单孔腹腔镜胆囊切除术的方法和可行性。方法:回顾性分析我院2011年4月至2011年11月期间54例经脐单孔胆囊切除患者的临床资料。结果:本组54例均运用X-cone单孔腹腔镜器械经脐行单孔腹腔镜胆囊切除术,2例因胆囊炎症严重,解剖不清,改为二孔法腹腔镜手术,其他均手术成功,成功率96.3%。本组病例手术时间平均(30±14)(20～58)min,出血5～50mL,平均10.6mL。术后次日恢复流汁饮食,住院时间3～4d。随访至今,1例患者切口液化,无其他术中、术后并发症。术后患者无瘢痕效果十分满意。结论:运用X-cone单孔腹腔镜器械经脐单孔腹腔镜胆囊切除术具有同样的手术安全性,更具有突出的切口美容效果,术后疼痛轻、康复快、住院时间短,同时患者住院费用低,值得在临床广泛推广。
Objective To evaluate the clinical feasibility and applying prospect of single incision laparoscopic cholecystectomy surgery by using X-cone single access port system.Methods The clinical data of 54 patients receiving single incision laparoscopic cholecystectomy surgery by using X-cone single access port system in Guangdong General Hospital from April 2011 to Dec 2011 were analyzed retrospectively. Results In 54 cases of single incision laparoscopic cholecystectomy surgery by using X-cone single access port system, two cases of severe cholecystitis changed to two port laparoscopic surgery, the other operation is successful, the success rate of 96.3%. This group of patients operative time was 20-58 min （average 30±14） min, and bleeding average of 10.6 mL. The next day after Surgery patients restore juice diet. Length of stay is 3-4 d. Follow-up so far, only one patient incision is liquefaction, no other operative complications. Postoperative no scar effect is very satisfied. Conclusions Single incision laparoscopic cholecystectomy surgery by using X-cone single access port system is technically safe and feasible, with a smaller incision, less postoperative painful, faster recovery, shorter hospital stay, and lowcost of hospitalization, and it is worthy of promotion.
出处
《实用医学杂志》
CAS
北大核心
2012年第12期1997-1998,共2页
The Journal of Practical Medicine
关键词
经脐单孔腹腔镜胆囊切除术
X—cone单孔器械
无瘢痕
Single incision laparoscopic cholecystectomy surgery
X-cone single access port system
No Scar
