经脐入路单孔腹腔镜行胆囊切除术150例报告

目的：探讨经脐入路单孔腹腔镜行胆囊切除术的可信性及安全性。
方法:回顾性分析150例经脐单孔行LC患者的临床资料。
结果:3例因胆囊颈部结石嵌顿，胆囊明显肿胀，显露困难，且术后需引流，改为两孔法完成手术，其余均成功行经脐单孔腹腔镜手术，成功率98%，手术时间30~100 min，无出血、胆瘘等并发症发生，出院时仅见脐部皱褶外，均无可见的腹壁瘢痕。
结论:经脐入路单孔腹腔镜手术操作简单、安全，技术上是可行的。但必需要手术组熟练使用改良的器械及密切配合。

Transumbilical single-port laparoscopic cholecystectomy: a report of 150 cases

Objective:To study the feasibility and safety of transumbilical single-port laparoscopic cholecystectomy (TUSPLC).
Methods:The clinical data of 150 patients undergiong TUSPLC were retrospectively analyzed.
Results:Three cases were converted to standard two-port LC due to stones incarcerated in the neck of the gallbladder, which resulted in difficult exposure of the gallbladder, and drains were required after surgery. TUSPLCs were successfully perfomed in other 147 patients, thus the successful rate was 98%. Operating times were 30 to 100 min, and no bleeding, bile leakage or other complications occurred. Except for small umbilical skin folds, there were no visible abdominal scars when the patients were discharged.
Conclusions:TUSPLC approach is simple, safe and technically feasible. However, it requires the operation team to be skilled in using the equipment and to cooperate closely during the procedure.