摘要
目的探讨经脐单孔腹腔镜手术在肝脏外科中的应用,总结其可行性及局限性。方法回顾性分析11例行经脐单孔腹腔镜手术患者的临床资料,其中肝血管瘤8例、肝囊肿3例。经脐下缘做一长约1.5cm弧形切口,置入3个5mmTrocar,其中5例采用R-port切除肝血管瘤,器械均采用多角度可旋转分离钳。结果 11例患者均在经脐单孔腹腔镜下完成手术,手术后患者平均住院日4d,无1例出现胆瘘、腹腔出血等严重并发症。结论经脐单孔腹腔镜手术安全、可行,且具有瘢痕小、切口美观、患者疼痛轻等特点,但肝脏为实质性脏器,解剖结构复杂及腹腔镜器械限制了单孔腹腔镜技术在肝脏外科手术中的发展。
Objective To evaluate umbilical hole laparoscopic liver surgery in the application,concluded its feasibility and limitations.Methods A retrospective analysis of 11 cases of laparoscopicsurgery by the umbilical hole clinical data,including 8 cases of hepatic hemangioma,liver cyst in 3cases.After about 1.5cm below the belly button to make a curved edge of incision into three 5mm Trocar,of which 5 were treated with R-port resection of hepatic hemangioma,devices are separated by multi-anglerotating clamp.Results Eleven patients were completed by the umbilical hole laparoscopic surgery,withan average length of stay after surgery 4 d,1 patient without biliary fistula,abdominal bleeding and otherserious complications.Conclusions The umbilical hole laparoscopic surgery is safe,feasible,and has asmall scar,wound appearance,pain and other characteristics of patients,but the liver was substantialorgan,anatomical structure,complex and laparoscopic instruments in laparoscopic technique limits thesingle-hole The development of liver surgery.
出处
《中华腔镜外科杂志（电子版）》
2010年第6期56-58,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
单孔
腹腔镜
肝脏外科
临床应用
Hole
Laparoscopy
Liver surgery
Clinical application
