中国实用外科杂志

中国实用外科杂志

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自制单孔腹腔镜装置及其临床应用（附70例报告）

潘华峰，江志伟，赵    坤，王    刚   

  1. 南京大学医学院临床学院  南京军区南京总医院普外科，江苏南京210002
  • 发布日期:2012-05-28

  • Published:2012-05-28

摘要：

目的    介绍自制单孔腹腔镜装置的可操作性及实用性，逐步推广其在临床上的应用。 方法  回顾性分析2009年12月至2011年12月南京军区南京总医院普外科自制单孔腹腔镜装置在70例单孔腹腔镜手术（LESS）中的应用情况，以手术时间、术中出血、术后排气时间、术后住院天数等为指标，对此装置的可行性做一详细评估。 结果    65例病人顺利完成手术，5例中转为开腹手术，手术时间90~300 min，术中出血10~120 mL，术后排气时间1~5 d，术后住院时间1~5 d。 结论    自制单孔腹腔镜装置具有较好的可操作性及实用性，且价格低廉，值得在临床推广应用。

关键词: 自制单孔装置, 单孔腹腔镜, 胃间质瘤, 结肠癌, 直肠癌

Abstract:

The production steps of the homemade single-site laparoscopic device and its clinical application: a           reaport of 70 cases        Research Institute of General Surgery, Nanjing General Hospital of Nanjing Military Command, Medical College of Nanjing University, Nanjing 210002, China
Corresponding author：JIANG Zhi-wei，E-mail:surgery34@163.com
Abstract    Objective    To introduce the maneuverability and availability of the homemade single-site laparoscopic device for the further clinical application. Methods    The clinical data of homemade single-site laparoscopic device used in 70 cases of  LESS between December 2009 and December 2011 at Nanjing General Hospital of Nanjing Military Command were analyzed retrospectively. Based on the data of the operation time, intraoperative bleeding, postoperative flatus passage time and hospital stay, the feasibility of the device was evaluated. Results    Sixty-five cases experienced surgery successfully without intraoperative conversion. Five cases were made a conversion to the open surgery. The operative time ranged from 90 to 300 mins. The intraoperative blood loss was 10 to 120 mL. The first passage of flatus was 1 to 5 days. The postoperative hospital stay was 1 to 5 days. Conclusion    The homemade single-site laparoscopic device is cheap with preferable maneuverability and availability. It should be applied popularly.

Key words: homemade single-site device, LESS, gastric stromal tumor, colon cancer, rectal cancer