免气腹经脐单孔腹腔镜保胆取石术8例报告

目的:探讨免气腹经脐单孔腹腔镜保胆取石术的可行性与安全性。方法:2009年11月至12月我院收治8例女性胆囊结石患者,均为单发结石。采用悬吊装置提拉上腹壁后建立手术空间,于脐孔旁做1.5～2.0cm弧形切口,置入特制的三通道硅胶塞,使用5mm腹腔镜、抓钳、电针、持针器等器械进行操作。结果:8例手术均获成功。术后无出血、胆漏等并发症发生,手术时间45～120min,平均(77.5±24)min。术后均未使用止痛药物。平均住院4d。术后脐部无明显手术瘢痕。结论:免气腹经脐单孔保胆取石术安全可行。这一术式具有保留胆囊功能、避免CO2气腹造成的潜在风险及术后无明显手术瘢痕等优点。

Gasless transumbilical single port laparoscopic cholecystolithotomy:with a report of 8 cases

Objective:To explore the feasibility and safety of gasless laparoscopic cholecystolithotomy using trans-umbilical single incision technique.Methods:Eight female patients with solitude gallbladder stone were admitted for laparoscopic cholecystolithotomy from Nov.to Dec.2009.After elevation of the upper abdominal wall by a lifting device,an incision of 1.5-2.0cm was made through all layers in the umbilicus and a specially designed silicone plug with three 5mm ports was positioned.Then the laparoscope,grasper,...