完全经脐单孔腹腔镜胆囊切除术30例临床应用分析

目的探讨完全经脐单孔腹腔镜胆囊切除术的可行性及应用前景。方法总结分析2009年5至9月中国医科大学附属盛京医院第一微创外科、胆道外科施行的30例完全经脐单孔腹腔镜胆囊切除术的手术方法及临床效果。结果30例手术均获成功,无一例中转传统腹腔镜或开腹胆囊切除术,手术时间为20～60min,平均32.2min。术后无出血、胆汁漏等并发症发生,患者恢复良好,对治疗及美容效果满意。结论完全经脐单孔腹腔镜胆囊切除术在技术上是安全可行的,但较传统腹腔镜胆囊切除术而言其操作难度增加,近远期临床疗效和手术风险需要进一步的临床随机对照研究来证实。

Clinical analysis of totally transumbilical single-port laparoscopic cholecystectomy in 30 patients

Objective To evaluate the clinical feasibility and applying prospect of totally transumbilical single-port laparoscopic cholecystectomy.Methods 30 well-selected patients underwent single-port laparoscopic cholecystectomy totally through umbilicus in Shengjing Hospital of China Medical University.Results All the operations were successfully completed without conversion to conventional laparoscopic or open cholecystectomy.Average surgery time was 32.2 minutes（20～60 minutes）.No drainage tube was placed.No port-related or surgical complications such as bile leak or uncontrolled hemorrhage occurred postoperatively.Patients were satisfied with the therapeutic and cosmetic effects.Conclusions Single-port laparoscopic performed totally through umbilicus is technically feasible and safe when performed by skilled laparoscopic surgeons.Comparing with conventional laparoscopic cholecystectomy,it＇s more manipulatively difficult,and it also has to be determined whether this new approach would benefit patients by clinical randomized studies.