腹腔镜下多脏器联合手术的临床应用

目的应用腹腔镜技术行腹腔内多脏器多科室联合手术。方法分析该院近6年来由肝胆外科和妇产科联合完成的32例腹腔镜下多脏器手术，其中行胆囊切除术＋胆总管探查取石术＋子宫次全切除术3例，胆囊切除术＋肝囊肿开窗引流术＋子宫次全切除术3例，胆囊切除术＋子宫次全切除术或腹腔镜辅助阴式子宫全切除术15例。胆囊切除术＋卵巢囊肿及畸胎瘤剥除术11例。结果32例手术均顺利完成，手术时间最短40min，最长180min，平均120min，术后平均住院5d，无并发症，效果满意。结论腹腔镜下多脏器多科室联合手术不增加病人痛苦。同时行多个病变部位手术，避免上下腹同时切开或多次手术，住院时间短，费用低。美容效果好。

Clinical application of combined laparoscopic multi-organ surgery

Objective] To investigate the chnical value and application effect of combined laparoscopic multiorgan surgery. Methods] 32 combined laparoscopic multi-organ surgeries including laparoscopic cholecystectomy, laparoscopic common bile duct exploration, laparoscopic hepatocystotomy, laparoscopic supracervical hysterectomy, laparoscopic-assisted vaginal hysterectomy, ovarian cyst and benign teratoma extraction were performed from May 1999 to October 2004 by surgeons in Department of Obstetrics and Gynecology and Department of Hepatobiliary Surgery. Results] All laparoscopic procedures were successfully completed. The operation time ranged from 40 minutes to 180 minutes. And the average operation time was 120 minutes. Mean postoperative hospitalization was 5 days. No complications were found. Conclusions] Combined laparoscopic multi-organ surgery can be performed conveniently with co-operation of different professional surgeons. It offers significant benefits to patients such as decreased postoperative pain, reduced trauma to the abdominal wall and cost saving.