经脐单孔腹腔镜胆囊切除术:附52例报告
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朱家万 E-mail:zjw680310@126.com

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Transumbilical single port laparoscopic cholecystectomy:a report of 52 cases
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    摘要:

    目的:探讨经脐单孔行腹腔镜胆囊切除术(LC)的可行性及安全性。
    方法:回顾性分析2009年3月—7月完成的52例单孔行LC患者临床资料。
    结果:3例因胆囊颈部结石嵌顿,胆囊明显肿胀,显露困难、且术后需引流,改用二孔法完成腹腔镜手术;其余49例均行经脐单孔腹腔镜手术成功,成功率94.2%。手术时间39~108 min[平均(48±23)min],无术中、术后等并发症,术后1~3 d出院,1周恢复正常工作。
    结论:经脐单孔行LC是可行的,较常规腹腔镜更显微创优势,腹壁无可见手术瘢痕。

    Abstract:

    ObjectiveTo study the feasibility and safety of transumbilical single port laparoscopic cholecystectomy (LC).
    MethodsWe analyzed the clinical data of 52 cases of transumbilical single port LC done in our hospital from March 2009 to July 2009.
    ResultsThree cases were operated by usual LC because of stone embedded in gallbladder neck and exposure was difficult. In the other 49 cases (94.2%), transumbilical single port LC was successfully performed.Operating time was 39 to 108 min[mean (48±23 min)].There were no intraoperative complications. The patients were discharged from hospital in one to three days after operation, and resumed normal work in one week.
    ConclusionsCompared with the routine LC, transumbilical single port LC is more feasible, has more micro-invasive advantages and with no visible abdominal scar.

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朱家万| 宝宏革| 刘浩.经脐单孔腹腔镜胆囊切除术:附52例报告[J].中国普通外科杂志,2009,18(8):804-806.
DOI:10.7659/j. issn.1005-6947.2009.08.010

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  • 在线发布日期: 2009-08-15