中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (04): 304-306.

• 论著 • 上一篇    下一篇

经脐单孔腹腔镜胆囊切除术120例回顾性分析

郭    伟，张忠涛，韩    威，金    岚，刘    军，赵晓牧，李建设，王    宇   

  1. 首都医科大学附属北京友谊医院普外科，北京100050
  • 出版日期:2010-04-01 发布日期:2010-04-06

  • Online:2010-04-01 Published:2010-04-06

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摘要：

目的    总结经脐单孔腹腔镜胆囊切除术的手术经验及技术改进。方法    回顾性分析首都医科大学附属北京友谊医院2008年5月至2009年12月120例经脐单孔腹腔镜胆囊切除术病人的临床资料。结果    1例（0.8%）因胆囊周围粘连严重中转常规腹腔镜胆囊切除术（4孔）。平均手术时间28～145（58.5±23.7） min，平均术中出血量2～100（15.3±8.6）mL，术后平均住院1.3（1～3）d，除4例出现切口脂肪液化，经换药后愈合外，其余病例伤口愈合良好，瘢痕隐蔽不易发现，美容效果满意。随访1～17个月,无胆漏、出血、胆管损伤、切口疝等严重并发症。
结论    经脐单孔腹腔镜胆囊切除术安全可行，具有“无瘢痕”、恢复快等优势，但是对技术和设备要求较高，必须不断改进，而且须严格选择病例。

关键词: NOTES, 腹腔镜胆囊切除术, 单孔

Abstract:

Transumbilical Single-Port laparoscopic cholecystectomy:experience of 120 cases        GUO Wei, ZHANG Zhong-tao, HAN Wei, et al.Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Corresponding author: Zhang Zhongtao, E-mail：zhangzht@medmail.com.cn
Abstract    Objective    To evaluate the outcomes of transumbilical single-port laparoscopic cholecystectomy and review the technique improvement. Methods    From May 2008 to Dec 2009, 120 cases transumbilical single-port laparoscopic cholecystectomy were performed in our hospital. The clinical data and surgical outcomes were retrospectively reviewed. Results    One patient (0.8%) was converted to traditional laparoscopic cholecystectomy (4 ports) due to perigallbladder adhesion. The mean operating time was 58.5±23.7min (28-145min). The mean blood loss was 15.3±8.6ml (2-100ml). The mean postoperative hospital stay was 1.3 (range, 1-3d) days. All the incisions except 4 were healed well and the surgical scar was satisfied and virtually concealed within the umbilicus. No postoperative complications were observed at follow-up 1-17 months. Conclusions    Transumbilical single-port laparoscopic cholecystectomy is feasible when patients were well selected.

Key words: NOTES, larparoscopic cholecystectomy, single port