| 经脐单孔腹腔镜下胆囊切除术7例体会 |
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| 引用本文： | 李鑫磊,耿长辉,李艳,赵海峰,佟立权.经脐单孔腹腔镜下胆囊切除术7例体会[J].中国伤残医学,2012,0(11):11-12. |
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| 作者姓名： | 李鑫磊 耿长辉 李艳 赵海峰 佟立权 |
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| 作者单位： | 李鑫磊 (哈尔滨医科大学附属第五医院普外科,黑龙江 大庆 163316)；耿长辉 (哈尔滨医科大学附属第五医院普外科,黑龙江 大庆 163316)；李艳 (大庆油田总医院病理科)；赵海峰 (哈尔滨医科大学附属第五医院普外科,黑龙江 大庆 163316)；佟立权 (哈尔滨医科大学附属第五医院普外科,黑龙江 大庆 163316)； |
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| 摘 要： | 目的:探讨使用普通腹腔镜器械行经脐单孔腹腔镜胆囊切除术的可行性及手术操作要点。方法:7例胆囊疾病患者(4例胆囊息肉,2例胆囊结石,1例胆囊结石合并息肉)使用普通LC手术器械完成经脐单孔腹腔镜胆囊切除术。结果:7例手术均获成功,无中转开腹、胆漏及出血并发症发生、1例肋弓下增加1mm克氏针穿刺孔悬吊和牵引胆囊。结论:临床上使用普通腹腔镜器械行经脐单孔LC安全、可行,疗效可靠,美容效果突出,术后疤痕不明显,但操作困难,在有条件的医院可作为LC的改进术式推广。
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| 关 键 词： | 经脐手术 单孔 胆囊切除术 腹腔镜 |
Laparoscopic Instruments via Umbilical Hole Feasibility of Laparoscopic Cholecystectomy and Surgical Operation |
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| Institution: | LI Xin-lei , GENG Chang-hui , LI Yan , et al . ( Department of general surgery,the fifth affiliatal hospital of Haerbin medical university , Daqing , Heilongjiang 163000 ) |
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| Abstract: | Objective:Explore the use of ordinary laparoscopic instruments via umbilical hole feasibility of laparoscopic cholecystectomy and surgical operation points. Methods:7 cases of gallbladder disease (4 cases of gallbladder polyps, 2 cases of gallbladder stones, 1 case of gallstone polyps)in patients with complete surgical instruments used by the general LC umbilical laparoscopic cholecystectomy hole.Results:7 cases were successful without conversion to laparotomy, bile leakage and bleeding complications,1 case of costal arch to increase 1mm Kirschner wire suspension and traction gallbladder puncture.Conclusion:Clinical use of umbilical hole passing through the ordinary laparoscopic instruments LC safe, feasible, effective, reliable, outstanding cosmetic results, postoperative scar is not obvious, but the operational difficulties, Hospitals in the conditions improved as surgical LC promotion. |
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| Keywords: | Transumbilical surgery Single hole Cholecystectomy Laparoscopy |
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