摘要
目的探讨经脐入路腹腔镜胆囊切除术的可行性及应用价值。方法回顾分析35例(胆囊结石28例,胆囊息肉7例)经脐入路腹腔镜胆囊切除术的临床资料。结果手术时间28～62min,平均40min;术中出血3～16mL,平均7mL。未放引流,无出血、胆漏等并发症。术后随访1～18个月,平均6个月,患者均无腹痛、发热、黄疸及脐疝发生,脐部瘢痕隐蔽。结论经脐入路腹腔镜胆囊切除术是安全可行的,操作难度较常规腹腔镜胆囊切除术大,但通过熟练的操作、器械的改进,与常规腹腔镜胆囊切除术手术时间无明显差别,更具微创性,美容效果更佳,值得临床推广应用。
Objective To investigate the feasibility and application value of transumbilical laparoscopic cholecystectomy.Methods To retrospectively analyze the clinical data in 35 cases of laparoscopic cholecystectomy through the transumbilical approach（28 cases of cholecystolithiasis,7 cases of gallbladder polyp）.Results The operation time was generally 28-62 min（40 min）.Intraoperative bleeding was 3-6 mL,average 7 mL.Drainage was not used.No bleeding,bile leakage or other complications occurred postoperatively.In the follow-up of 1-18 months,average 6 months,no abdominal pain,fever,jaundice or umbilical hernias occurred with the cover-up of the umbilical scar.Conclusion The laparoscopic cholecystectomy through the transumbilical approach is safe and feasible.The operation is more difficult than routine laparoscopic cholecystectomy.Through the skilled operation and improvement of instrument,the operation time has no obvious difference compared with routine laparoscopic cholecystectomy.Transumbilical laparoscopic cholecystectomy is more minimally invasive with better cosmetic effect,which is worth the clinical application and popularization.
出处
《检验医学与临床》
CAS
2012年第2期140-141,共2页
Laboratory Medicine and Clinic
关键词
经脐入路
腹腔镜
胆囊切除术
through the transumbilical approach
laparoscopic
cholecystectomy
