应用专利电凝钩经脐单一部位腹腔镜胆囊联合阑尾切除3例

2010年3月～2011年4月应用专利电凝钩经脐单一部位行腹腔镜胆囊联合阑尾切除3例。在脐上缘做2cm弧形单一切口,置入2个5 mm及1个10 mm trocar,使3个trocar呈倒三角形,采用我们自己发明的专利电凝钩及改良的国产直形器械,先切除胆囊,暂不取出,然后在原单一切口内改变trocar的方向及体位的情况下切除阑尾,最后一并取出阑尾及胆囊。3例均顺利完成单一部位腹腔镜下胆囊联合阑尾切除术,手术时间50～85 min,平均63 min;出血量为15～40 ml,平均25 ml。3例分别随访1、5、20个月,均恢复良好,无腹痛等不适症状,腹壁无明显瘢痕,出院后1周即恢复正常工作。应用专利电凝钩行经脐单一部位腹腔镜胆囊联合阑尾切除方法可行、微创,美容效果明显。

Transumbilical Single-incision Laparoscopic Cholecystectomy Combined with Appendectomy with a Patented Electrocoagulation Hook:Report of 3 Cases

From March 2010 to April 2011,we used a patented electrocoagulation hook for single-incision laparoscopic cholecystectomy combined with appendectomy on 3 cases.Through a 2-cm curve incision above the umbilicus,we placed two 5-mm and one 10-mm trocars.Afterwards,with a self-invented electrocoagulation hook and modified domestic equipments,we resected the gallbladder,and then without removing the gallbladder,we cut the appendix by changing the direction of the trocars and the position of the patients.Finally,the gallbladder and appendix were pulled out together.The operation was completed in all the patients with a mean of 63 min(ranged from 50 to 85 min).The mean intraoperative blood loss was 25 ml(ranged from 15 to 40 ml).The patients were followed up for 1,5,and 20 months respectively,during which no patient complained of abdominal pain or scars.All of them resumed daily activities in 1 week after the surgery.Therefore,we believe that this self-invented electrocoagulation hook is effective for single-incision laparoscopic cholecystectomy combined with appendectomy.