摘要
目的：探讨单孔腹腔镜保胆取石术的可行性、安全性及技术方法。方法：回顾分析为6例患者施行单孔腹腔镜保胆取石术的临床资料,脐下缘做1.5~2.0 cm弧形切口,置入多通道套管,使用常规腹腔镜及改良的两端弯曲的加长电凝钩、分离钳、剪刀、持针器等。结果：6例手术均获成功,无一例中转常规腹腔镜手术。手术时间平均66 min,术中出血5~30 ml,术后无出血、胆漏等并发症发生。术后第1天进流质饮食,第2天出院。结论：单孔腹腔镜保胆取石术安全、可行,但操作难度较常规腹腔镜手术大。手术微创,具有术后患者疼痛轻、腹壁无明显手术瘢痕、切口美观等优点,适于临床推广。
Objective：To discuss the feasibility,safety and technical methods of removal of calculus and preservation of gallbladder by single-port laparoscopy.Methods：A 1.5-2 cm incision below the belly button was made,multi-channel port was placed in it,the conventional laparoscopy and modified extended both-end-curved coagulative hooks,separation pliers,scissors,needle holder and so on were used.Results：The 6 cases were successfully completed without conversion to conventional laparoscopic surgery.The mean operation time was 66 min,and the blood loss was 5-30 ml.No postoperative complications such as bleeding or bile leakage occurred.The patients could take liquid diet 1 day after the operation and were discharged on the second postoperative day.Conclusions：Removal of calculus and preservation of gallbladder by single-port laparoscopy is safe and feasible.It is more difficult than conventional laparoscopic surgery.It has advantages of mini-invasion,less pain after the operation,invisible surgical scar and better cosmetic result,and worth clinical popularization.
出处
《腹腔镜外科杂志》
2011年第7期505-506,共2页
Journal of Laparoscopic Surgery
关键词
胆囊结石病
保胆取石术
腹腔镜检查
单孔
Cholecystolithiasis
Cholelithotomy with gallbladder preserved
Laparoscopy
Single-port
