经脐单孔腹腔镜胆囊切除术20例分析

目的探讨经脐单孔腹腔镜胆囊切除术（TSPALC）的可行性及临床效果。方法对2009年4-6月新疆医科大学附属中医医院普外一科完成20例TSPALC的手术方法及临床效果进行回顾性分析。结果除2例因操作困难中转为腹腔镜胆囊切除术（LC）外,余18例病人手术均获成功。术中无明显出血。手术时间48-110 min,平均（52±22）min。术后未发生胆漏、腹腔感染、切口感染等并发症。术后1-3 d出院。术后复查切口愈合良好,瘢痕隐蔽不易察觉。结论TSPALC是一项新技术,可实现腹壁无瘢痕,但操作难度较大,有技术条件的医院可以在慎重选择病例的基础上开展。

Analysis of 20 cases of transumbilical single port access laparoscopic cholecystectomy

Objective To evaluate the clinical feasibility of the transumbilical single port access(SPA) laparoscopic cholecystectomy.Methods The methods and clinical effects of 20 cases of transumbilical single port access laparoscopic cholecystectomy performed from April to June 2009 at our department were reported.Results The operations of 18 cases were completed successfully while 2 case was converted to routine laparoscopic cholecystectomy due to difficulties in operations.There was no significant differences of b...