摘要
目的:探讨免气腹经脐单孔腹腔镜保胆取石术的可行性与安全性。方法:2009年11月至12月我院收治8例女性胆囊结石患者,均为单发结石。采用悬吊装置提拉上腹壁后建立手术空间,于脐孔旁做1.5～2.0cm弧形切口,置入特制的三通道硅胶塞,使用5mm腹腔镜、抓钳、电针、持针器等器械进行操作。结果:8例手术均获成功。术后无出血、胆漏等并发症发生,手术时间45～120min,平均(77.5±24)min。术后均未使用止痛药物。平均住院4d。术后脐部无明显手术瘢痕。结论:免气腹经脐单孔保胆取石术安全可行。这一术式具有保留胆囊功能、避免CO2气腹造成的潜在风险及术后无明显手术瘢痕等优点。
Objective ： To explore the feasibility and safety of gasless laparoscopic choleeystolithotomy using trans-umbilical single incision technique. Methods：Eight female patients with solitude gallbladder stone were admitted for laparoscopic cholecystolithotomy from Nov. to Dec. 2009. After elevation of the upper abdominal wall by a lifting device, an incision of 1.5-2.0cm was made through all layers in the umbilicus and a specially designed silicone plug with three 5ram ports was positioned. Then the laparoscope, grasper, electric needle and needle-holder were used to perform cholecystolithotomy. Results：All stones were removed successfully. No postoperative complications such as bleeding or bile leakage occmxed. Operative time was 45-120min, mean （77.5 ＋ 24 ）rain, mean hospitalization was 4d. The patients felt less pain and no analgesic drugs were used. There were no visible scars on the abdominal wall. Conclusions：The gasless transumbilical single port cholecystolithotomy is safe and feasible. It has advantages of keeping the integrity of biliary tract and the function of gallbladder,no visible postoperativer scars, and avoiding the potential side effects from CO2 to the body as well.
出处
《腹腔镜外科杂志》
2010年第1期6-8,共3页
Journal of Laparoscopic Surgery
关键词
经脐内镜手术
单孔
腹腔镜检查
胆囊取石术
免气腹
Transumbilical endoscopic surgery
Single incision
Laparoscopy
Cholecystolithotomy
Gasless
