摘要
目的探讨常规器械联合膀胱镜镜头行经脐单孔腹腔镜胆囊切除术的安全性和可行性。方法回顾性分析2014年7月至2015年7月收治的38例常规器械联合膀胱镜镜头行经脐单孔腹腔镜胆囊切除术患者的临床资料。结果其中1例因为肝硬化伴胆囊三角区解剖不清，改为三孔手术，其余37例均获成功。手术时间35～85min，平均50min，出血5-40mL。术后住院平均2-4d。所有患者均恢复良好，随访37例，时间1～12个月，未见远期并发症和不适，术后疤痕不明显，美容效果佳。结论常规器械联合膀胱镜镜头行经脐单孔腹腔镜胆囊切除术安全可行，手术切口更加隐蔽和美观，并易于在基层医院推广。
Objective To investigate the safety and feasibility of transumbilical single-port laparoseopic cholecystectomy（TUSPLC） using conventional laparoscopic instruments combined with cystoscope lens.Methods The clinical date of 38 patients undergoing TUSPLC using conventional laparoscopic instruments combined with cystoscope lens from July 2014 to July 2015 were retrospectively analyzed.Results One patient was converted to the three-port procedure because of liver cirrhosis and anatomical reasons,and other 37 cases of TUSPLC were performed successfully.The operation time was 40-85 min,the blood loss was 5- 40 mL,and the length of postoperative hospital stay was 2-4 d.All the patients recovered well.Follow-up was conducted in 37 patients 1-12 months,during which no long-term complications or discomfort were noted in the patients;all scars were almost invisible,and the cosmetic results were satisfactory.Conclusion TUSPLC using conventional laparoscopic instruments combined with cystoscope lens is feasible and safe.The operation incision is more subtle and beautiful,and also easy to implement in primary hospital.
出处
《中国药业》
CAS
2015年第B12期381-382,共2页
China Pharmaceuticals
关键词
腹腔镜胆囊切除术
经脐单孔
常规器械
laparoscopic cholecystectomy
transumbilical single-port
conventional laparoscopic instruments
