摘要
目的总结针式组合式器械在新式单孔腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中的应用效果。方法回顾性分析接受新式单孔LC治疗的24例患者资料。术中将显露器针杆从右肋缘下锁骨中线穿刺进入腹腔,在腹腔内与操作头连接后向上牵引胆囊底浆膜层进行显露。将电钩针杆经剑突下穿刺进入腹腔,在腹腔内与操作头连接后进行胆囊三角分离及剥离胆囊。结果开展24例新式单孔LC,其中需要增为2孔者3例,增孔率12. 5%;无中转开腹。顺利完成21例(87. 5%)新式单孔LC,手术时间(55. 2±21. 5) min,术中出血量(6. 4±12. 3) ml,无胆漏、出血、胆管损伤等并发症。结论针式组合式显露器和针式组合式电钩结合使用可顺利完成新式单孔LC。
Objective To summarize the effect of the assembled needle instruments（ANIs）used in the novel single incision laparoscopic cholecystectomy（SILC）. Methods The data of 24 cases who had accepted the novel SILC with ANIs were retrospectively studied. Both the manipulating poles of the assembled needle exposing hook and the assembled needle electric coagulating hook were directly inserted to the peritoneal cavity at mid- clavicle line subcostally and sub- xiphoid process. After connecting with the hook heads inside, the gallbladder fundus serosa was retracted and the gallbladder was dissected by electric hook. Results In 24 cases performed with SILC, 3 cases required adding another port with adding port rate of 12.5% . There was no conversion to open surgery. The novel SILC was accomplished in 21 cases（87.5%） with operative time of（55.2±21.5）min and operative bleeding of（6.4±12.3）ml. Postoperative complications such as bile leak, bleeding and bile duct injury did not occur. Conclusions Combination of the assembled needle exposing hook and assembled needle electric coagulating hook can make the novel SILC with ease.
作者
田明国
贾东
杨海涛
刘明奇
杨勇
范雄伟
Tian Mingguo;Jia Dong;Yang Haitao;Liu Mingqi;Yang Yong;Fan Xiongwei(Department of Hepatobiliary Surgery,the People′s Hospital of Ning Xia Autonomous Region,Yinchuan 750002,China;Department of Minimally Invasive Surgery,the People′s Hospital of Wu Zhong City,Wuzhong 751000,China)
出处
《中华腔镜外科杂志（电子版）》
2018年第5期310-312,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
