中国实用外科杂志

中国实用外科杂志 ›› 2008, Vol. 28 ›› Issue (11): 967-969.

• 论著 • 上一篇    下一篇

经脐单孔腹腔镜胆囊切除术（附12例报告及文献复习）

韩威，张忠涛，李建设，金岚，郭伟，刘军，赵晓牧，王宇   

  1. 首都医科大学附属北京友谊医院普外科，北京100050
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-11-25 发布日期:2008-11-25

  • Received:1900-01-01 Revised:1900-01-01 Online:2008-11-25 Published:2008-11-25

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摘要：

目的探讨经脐单孔腹腔镜胆囊切除术的临床应用前景。方法报告2008年5~8月首都医科大学附属北京友谊医院普外科完成12例经脐单孔腹腔镜胆囊切除术的手术方法及临床效果。结果12例手术均获成功，无并发症发生，术后恢复好，病人满意。结论经脐单孔腹腔镜胆囊切除术操作难度较大，但具有无瘢痕等优点，有技术条件的医院可以在慎重选择病例的基础上开展。

关键词: 经脐单孔入路, 腹腔镜胆囊切除术, 经自然孔道内镜手术

Abstract:

Transumbilical single port access laparoscopic cholecystectomy:a clinical report of 12 cases and review of the literaturesHAN Wei,ZHANG Zhongtao,LI Jianshe,et al.Department of General Surgery,Beijing Friendship Hospital Affiliated to Capital University of Medical Science,Beijing 100050,China Corresponding author:ZHANG Zhongtao,Email：zhangzht@medmail.com.cn AbstractObjectiveTo evaluate the clinical feasibility of the transumbilical single port access (SPA) laparoscopic cholecystectomy.MethodsThe methods and clinical effects of 12 cases of transumbilical single port access laparoscopic cholecystectomy performed between May and August 2008 at Beijing Friendship Hospital Affiliated to Capital University of Medical Science were reported.ResultsThe operations of 12 cases were completed successfully without conversion to routine laparoscopic or open surgery.No postoperation complications occurred.ConclusionThe transumbilical laparoscopic cholecystectomy by single port access is a difficult procedure,but the technique results in superior cosmesis.The feasibility of the clinical research is determined by the ability of the center,and patients should be selected carefully.

Key words: transumbilical single port access, laparoscopic cholecystectomy, nature orifice transluminal endoscopic surgery