摘要
目的:探讨经脐单孔腹腔镜手术在肝胆疾病中的应用,总结其可行性及局限性。方法:回顾分析经脐单孔腹腔镜胆囊切除术24例、肝血管瘤2例、肝囊肿3例、脾囊肿1例共30例患者的临床资料。经脐下缘做约1.5 cm弧形切口,穿刺3个5mm Trocar,其中2例采用Tri-Port切除肝血管瘤,术中使用多角度可旋转分离钳。结果:30例均完成经脐单孔腹腔镜手术,24例胆囊患者平均住院1.2d,5例肝脏手术、1例脾囊肿患者平均住院4d,术后30例患者均未发生胆漏、出血等严重并发症。结论:经脐单孔腹腔镜手术安全、可行,患者疼痛轻,同时具有手术瘢痕小、美观的特点,但腹腔镜器械尚待进一步研发。
Objective：To explore the application of transumbilical single-port laparoscopic surgery in the liver and gallbladder diseases,and summarize its feasibility and limitations.Methods：Retrospective analysis was made on clinical data of 24 cases of transumbilical single-port laparoscopic cholecystectomy,2 cases of hepatic hemangioma,3 cases of liver cyst and 1 case of splenic cyst.A 1.5cm curved incision was made at the lower edge of umbilicus,from which 3 5mm Trocars were inserted.Tri-Port was used in 2 cases of hepatic hemangioma.Multi-angle separating clamp was used in all patients.Results：Thirty patients underwent completely transumbilical single-port laparoscopic surgery.The hospital stay of 24 gallbladder patients was 1.2d.The hospital stay of 5 liver and 1 spleen surgery patients was 4d.No complications such as biliary fistula or bleeding occurred.Conclusions：The transumbilical single-port laparoscopic surgery is safe,feasible,with less pain,small scar and better cosmetic result.The laparoscopic instruments should be further developed.
出处
《腹腔镜外科杂志》
2010年第11期817-819,共3页
Journal of Laparoscopic Surgery
关键词
经脐
单孔
腹腔镜检查
Transumbilicus
Single-port
Laparoscopy
