完全经脐单孔腹腔镜胆囊切除术的手术方法及技术改进

目的:探讨完全经脐单孔腹腔镜胆囊切除术(1aparoscopic cholecystectomy,LC)的手术方法及技术改进.方法:回顾分析在钟世镇院士提出的胆囊替代定位点理论指导下,开展完全经脐LC94例的手术方法及技术改进,并复习总结国內相关文献.结果:94例患者中1例因可疑胆囊癌中转开腹,3例因腹腔粘连、肥胖等因...

Operative method and technique improvement of transumbilical single-port laparoscopic cholecystectomy

Objective: To investigate the operative method and technique improvement of transumbilical single-port laparoscopic cholecystectomy. Methods:The clinical data of 94 patients who underwent transumbilical single-port laparoscopic cholecystectomy were retrospectively analyzed. Results:One patient was converted to open surgery because of suspicious gallbladder cancer,3 underwent classic laparoscopic cholecystectomy because of undetected Rouviere groove.90 patients successfully underwent transumbilical single-port laparoscopic cholecystectomy according to the principle of gallbladder substitution anchor point,these patients were all followed up,no complications occurred,such as bile leakage or obstructive jaundice.All patients recovered well and were satisfied with therapeutic and cosmetic result. Conclusions:Transumbilical single-port laparoscopic cholecystectomy is safe and feasible,but difficult when compared with traditional laparoscopic cholecystectomy.Surgeons should follow correct operative principle,increase port or convert to laparotomy when the procedure is hard to continue.The operation can be widely applied in clinic.