完全经脐单孔腹腔镜胆囊切除术60例应用分析

目的探讨完全经脐单孔腹腔镜胆囊切除术的可行性、临床效果及价值。方法回顾分析2011-07—2014-07间安徽省郎溪县人民医院普外科开展的60例完全经脐腹腔镜胆囊切除术患者的临床资料。结果 60例均获得成功,手术时间为38~115 min,平均(58.02±5.21)min,均术后3~5 d出院,术后无切口感染、脂肪液化、出血及胆漏等并发症发生。结论完全经脐单孔LC安全系数高,可行性大,具有创伤小,痛苦轻,恢复快等优点,同时带给患者美观的功效。

Totally transumbilical single-port laparoscopic cholecystectomy a report of 61cases

Objective To evaluate the clinical feasibility and applying prospect of totally transumbilical single -portlaparoscopic chol-ecystectomy.Methods 60 well-selected patients underwent single -port laparoscopic cholecystectomy totally through umbilicus between July 2011 and July 2014 at Langxi people ,s Hospital Results All the operations were successfully completed without conversion to conventional lap -aroscopic or open cholecystectomy .Average surgery time was （58.02 ±5.21） minutes （38-115） minutes.No drainage tube was placed .No port-related or surgical complications such as bile leak or uncontrolled hemorrhage occurred postoperatively .Conclusion Single-port lapa-roscopic performed totally through umbilicus is technically feasible and safe when performed by skilled laparoscopic surgeons .