Abstract:

Totally transumbilical single-port laparoscopic cholecystectomy： a report of 10 cases        HAN Jin-yan, WU Shuo-dong, TIAN Yu. Department of General Surgery, Biliary and Vascular Surgery Unit, Shengjing Hospital of China Medical University, Shenyang 110004, China
Corresponding author：WU Shuo-dong, E-mail: wushuodong@yahoo.cn
Abstract    Objective    To evaluate the clinical feasibility and applying prospect of totally transumbilical single-port laparoscopic cholecystectomy. Methods    Ten well-selected patients underwent single-port laparoscopic cholecystectomy totally through umbilicus between May 2009 and June 2009 at Shengjing Hospital of China Medical University. Results    All the operations were successfully completed without conversion to conventional laparoscopic or open cholecystectomy. Average surgery time was 40.0 minutes (20~65minutes). No drainage tube was placed. No port-related or surgical complications such as bile leak or uncontrolled hemorrhage occurred postoperatively. Patients were satisfied with the therapeutic and cosmetic effects. Conclusion    Single-port laparoscopic performed totally through umbilicus is technically feasible and safe when performed by skilled laparoscopic surgeons. Comparing with conventional laparoscopic cholecystectomy, it’s more manipulatively difficult, and it also has to be determined whether the new approach would benefit patients by clinical randomized studies.

Key words:  single port access surgery, single incision laparoscopic surgery, laparoscopic cholecystectomy

摘要：

目的    探讨完全经脐单孔腹腔镜胆囊切除术的可行性及应用前景。方法    报告2009年5~6月中国医科大学附属盛京医院胆道血管外科施行的10例完全经脐单孔腹腔镜胆囊切除术的手术方法及临床效果，并对国内外相关文献进行回顾。结果    10例手术均获成功，无一例中转传统腹腔镜或开腹胆囊切除术，手术时间为20～65min，平均40.0min。术后无出血、胆汁漏等并发症发生，病人恢复良好，对治疗及美容效果满意。
结论    完全经脐单孔腹腔镜胆囊切除术在技术上是安全可行的，但较传统腹腔镜胆囊切除术而言其操作难度增加，近远期临床疗效和手术风险需要进一步的临床随机对照研究来证实。

关键词: 单孔入径手术, 单切口腹腔镜手术, 腹腔镜胆囊切除术