经脐单孔腹腔镜胆囊切除临床分析

目的探讨经脐单孔腹腔镜胆囊切除的可行性、安全性及技术方法。方法本组24例患者,其中19例采用经脐下缘置入相邻的3个5mm Trocar方法完成,另4例采用Triport装置完成,术中使用带关节的5mm腔镜器械及部分常规腹腔镜器械共同完成手术操作,具体步骤同传统腹腔镜胆囊切除术。结果 24例手术均顺利完成,无1例中转开腹或转为传统三孔腹腔镜胆囊切除术,术后所有患者第一天出院,住院及随访期间,无任何并发症发生。结论经脐单孔腹腔镜胆囊切除是安全、可行,具有术后疼痛轻,手术瘢痕小,切口美观等优点,适合临床广泛推广。初期手术时,需多注意围手术期处理及手术技术上的细节,以提高手术成功率。

The clinical analysis of 24 cases of transumbilical single-incision laparoscopic cholecystectomy

Objective To discuss the feasibility and clinical value of transumbilical single-port laparoscopic cholecystectomy.Methods 24 patients were enrolled into this study.Among them, 19 cases of transumbilical single-port laparoscopic cholecystectomy were complete through 3 adjacent 5 mm Trocar around umbilical, 4 cases through Triport.some articulating laparoscopic instruments were needed.Procedures of cholecystectomy was similar with traditional laparoscopic cholecystectomy.Results All of operations were comple...