| 经脐单孔腹腔镜胆囊切除术 |
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| 引用本文： | 张光永,胡三元,李峰. 经脐单孔腹腔镜胆囊切除术[J]. 腹腔镜外科杂志, 2009, 14(1) |
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| 作者姓名： | 张光永 胡三元 李峰 |
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| 作者单位： | 山东大学齐鲁医院,山东,济南,250012 |
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| 摘 要： | 目的:探讨经脐单孔腹腔镜胆囊切除术的可行性。方法:6例胆囊疾病患者(4例息肉,2例结石)行经脐腹腔镜胆囊切除术,其中脐部做一1.5cm弧形切口,应用2种不同的方法建立腹腔镜操作通道并维持气腹完成胆囊切除。结果:6例手术均获成功。第1例手术时间为189min,后续2例手术时间约90min,后3例平均50～60min。未放置引流管,无出血及胆漏等并发症发生,清醒后即饮水,第2天出院,术后两周复查,脐部无明显手术瘢痕。结论:经脐单孔腹腔镜胆囊切除术是安全可行的,但操作难度较常规腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)大,脐部操作装置及手术器械有待进一步完善和改进,但其较传统LC更加微创,极具推广价值,可望成为有前途的新型LC。
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| 关 键 词： | 经脐手术 内镜手术 单孔 胆囊切除术,腹腔镜 |
The application of transumbilical single port laparoscopic cholecystectomy |
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| ZHANG Guang-yong,HU San-yuan,LI Feng. The application of transumbilical single port laparoscopic cholecystectomy[J]. Journal of Laparoscopic Surgery, 2009, 14(1) |
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| Authors: | ZHANG Guang-yong HU San-yuan LI Feng |
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| Affiliation: | ZHANG Guang-yong,HU San-yuan,LI Feng.Dept.of General Surgery,Qilu Hospital of Sh,ong University,Jinan 250012,China |
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| Abstract: | Objective:To discuss the feasibility,methods and clinical application of transumbilical single port laparoscopic cholecystectomy.Methods:The clinical data of 6 patients with gallbladder diseases undergoing transumbilical single port laparoscopic cholecystectomy was retrospectively analyzed.Results:All the operation were successfully performed.The operation time of the first case was 189min,the following 2 cases 90min,and the latest 3 cases 50-60min.No drainage tube was placed and postoperative bleeding and ... |
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| Keywords: | Transumbilical Endoscopic surgery Single port Cholecystectomy laparoscopic |
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