3D腹腔镜在经脐入路胆囊切除术中的临床应用

目的探讨3D高清腹腔镜在经脐入路胆囊切除术中的临床应用价值。方法对临床确诊且具有手术指征并征得患者同意和医院伦理委员会批准的17例胆囊结石、5例胆囊息肉共22例患者,应用3D腹腔镜经脐入路行胆囊切除术并对手术结果、安全性及并发症进行分析。结果手术时间15～58min,平均38min,术中出血3～11ml,平均6ml;未放引流管,无胆漏、出血等并发症。术后随访1～12个月,患者无不适,腹部瘢痕不明显。结论 3D腹腔镜经脐入路行胆囊切除术是安全可行的,较2D腹腔镜易操作,更直观、更具微创、精准、美容效果,可在临床推广应用。

Application of 3D laparoscope in transumbilical approach cholecystectomy

Objective To investigate the application value of 3D laparoscope on transumbilical approach cholecystectomy.Methods Clinical data of 22 patients with gallstone（17cases）and gallbladder polyps（5cases）treated with 3D laparoscopic cholecystectomy were restrospectively analyzed.Results The operation time was 38 min（15-58min）.The hemorrhage volume during operations was 3-11ml.There were no bile leakage,bleeding and other complications.The abdominal scar was not obvious.Conclusion It is safe and feasible to apply the 3D laparoscope in transumbilical approach cholecystectomy.