改良电钩入路的常规器械经脐单孔腹腔镜胆囊切除术：附517例报告

目的:探讨改良电钩入路的常规器械经脐单孔腹腔镜胆囊切除术的可行性.方法:回顾性分析2009年8月-2013年2月517例改良电钩入路的常规器械经脐单孔腹腔镜胆囊切除术患者的临床资料.结果:2例胆囊周围粘连严重和1例Mirizzi征因而中转开腹.全组手术时间22～55 min,术中出血量10～30 mL,术后住院1～2 d,无胆瘘、出血、胆管损伤等严重并发症发生.随访428例,时间1～18个月,未见远期并发症及不适出现,瘢痕隐蔽不易发现,美容效果满意.结论:改良电钩入路的常规器械经脐单孔腹腔镜胆囊切除术安全可行,易于推广.

Transumbilical single port laparoscopic cholecystectomy using conventional laparoscopic instruments through innovative electrical hook access: a report of 517 cases

Objective: To investigate the feasibility of transumbilical single-port laparoscopic cholecystectomy (TUSPLC) through improved electric hook access. Methods: The clinical data of 517 patients undergoing TUSPLC by improved electric hook access from August 2009 to February 2013 were retrospectively analyzed. Results: Two patients were converted to open surgery due to severe adhesions of the gallbladder to neighboring tissues and Mirizzi’s syndrome, respectively. For the entire group, the operative time was 22–55 min, intraoperative blood loss was 10–30 mL, and the length of postoperative hospital stay was 1–2 d. No serious complications such as bile leakage, hemorrhage bile duct injury occurred. Follow-up was conducted in 428 patients for 1–18 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 through improved electric hook access is feasible and safe, and also easy to implement in practice.