摘要
目的探讨经脐单孔腹腔镜保胆取石术(TU-LSGS)的安全性和可行性。方法 2010年11月至2011年2月对18例胆囊结石患者施行TU-LSGS,沿脐上缘弧形切开皮肤2.0～2.5cm,于切口左、右两侧共置入3个Trocar,呈三角形排列。游离胆囊颈,电切切开胆囊底部,纤维胆道镜取石,将结石装入取物袋,可吸收缝线间断全层缝合或连续扣锁缝合胆囊壁,退出器械同时将取物袋经脐取出。结果 18例手术均获成功。术后无出血、胆漏等并发症发生,手术时间45～92min,平均(63.5±18.5)min。术后均未使用止痛药物,平均住院4d。术后1个月随访胆囊功能正常,脐部无明显手术瘢痕。结论 TU-LSGS具有保留胆囊功能、术后患者疼痛轻、无明显手术瘢痕等优点,是安全可行的。
Objective To explore the feasibility and safety of the using experience of transumbilieal laparoseopic single site gallbladder-preserving surgery. Methods Eighteen cases were performed transumbilical laparoseopic single site gallbladder-preserving surgery from Novmber 2010 to February 2011. Results All stones were removed successfully.No postoperative complications such as bleeding or bile leakage occurred.Operative time was 45 - 92 min,mean （ 63.5 ±18.5 ） rain, mean hospitalization was 4 days. The patients felt less pain and no analgesic drugs were used. There was no visible scars on the abdominal wall and gallbladder have normal functions in one month follow-up. Conclusions This method is safe and reliable. It has advantages of keeping the integrity of biliary tract and the function of gallbladder, no visible postoperativer scars and less pain.
出处
《中华腔镜外科杂志（电子版）》
2011年第6期17-20,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
经脐单孔腹腔镜保胆取石术
腹腔镜检查
Transumbilical laparoscopic single site gallbladder-preserving surgery
Laparoscopic
