摘要
目的 介绍早期开展经脐单孔腹腔镜手术的经验.方法 回顾性分析从2009年8月28日至12月31日完成经脐单孔腹腔镜胆囊切除术11例、经脐单孔腹腔镜肝囊肿开窗引流术3例及经脐单孔腹腔镜阑尾切除术5例的临床资料.结果 19例手术中,除1例经脐单孔腹腔镜肝囊肿开窗引流术因术中出血而中转开腹,其余均获成功.第1例经脐单孔腹腔镜胆囊切除术手术时间为157min,后面的手术时间平均约为70min;经脐单孔腹腔镜肝囊肿开窗引流术,时间约为50min;经脐单孔腹腔镜阑尾切除术时间约为40min.术后无并发症.术后住院时间3～4d,最快1例阑尾术后2d出院.1～3个月后随访,脐部无明显手术瘢痕.结论 经脐单孔腹腔镜技术是微创手术的一个补充,随着手术经验的不断累积、手术器械的不断创新,该手术将会有更大的临床推广价值.
Objective To introduce the experience in transumbilical single port laparoscopic surgery. Methods Clinical data about transumbilical single port laparoscopic surgery including transumbilical single -port laparoscopic cholecystectomy （11 cases）, transumbilieal single-port laparoscopic fenestration in hepatic cyst （3 cases）, transumbilical single - port laparoseopic appendectomy （ 5 cases） which were performed in Tongji Hospital between August 28,2009 and December 31,2009 were retrospectively analyzed. Results In the 19 cases, only 1 case of transumbilical single - port laparoseopie fenestration in hepatic cyst was transferred to open surgery. The operation time of the first case of transumbilical single- port laparoseopic cholecystectomy was 157 min, and the subsequent transumbilical single -port laparoscopic cholecystectomys lasted about 70 min. The operation time of transumbilical single - port laparoseopic fenestration in hepatic cyst and transumbilical single -port laparoscopic appendectomy lasted about 50 min and 40 min. No complications occurred in the 19 cases. Postoperative hospital stay lasted 3 - 4 days, and one patient recovered well and was discharged only 2 clays after the appendectomy. There was no scar in the umbilicus. All the patients were followed up for 1 to 3 months. Conclusion Transumbilical single port laparoscopic surgery is a supplement to minimally invasive surgery. With the accumulation of surgical experience and continuous innovation of surgical instruments ,this procedure will have greater clinical value.
出处
《临床外科杂志》
2010年第8期516-518,共3页
Journal of Clinical Surgery
关键词
腹腔镜
经脐的
单孔
laparoscopic
transumbilical
single - port
