完全经脐单孔腹腔镜胆囊切除术17例报告 |
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引用本文: | 张斌,张虎,廖梦华,陈以龙.完全经脐单孔腹腔镜胆囊切除术17例报告[J].腹腔镜外科杂志,2012,17(2):137-139. |
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作者姓名: | 张斌 张虎 廖梦华 陈以龙 |
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作者单位: | 郎溪县人民医院,安徽宣城,242100 |
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摘 要: | 目的:探讨经脐单孔腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的应用价值,并总结手术经验。方法:回顾分析2011年7~12月有选择性地为17例患者行经脐单孔腹腔镜胆囊切除术的临床资料,纵行切开脐部,经三通道套管置入可弯曲及常规腹腔镜器械切除胆囊,术后恢复脐孔形态。结果:17例手术均获成功。手术时间40~100 min,平均75 min。无并发症发生。术后平均3 d出院,脐部瘢痕隐蔽。患者对治疗及美容效果满意。结论:经脐单孔腹腔镜胆囊切除术安全可行,但较传统LC操作困难,对术者技术要求较高。术后腹壁无疤痕,美容效果极好,具有临床推广价值。
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关 键 词: | 胆囊切除术 腹腔镜 单孔 经脐 病例报告 |
The clinical analysis of transumbilical single-port laparoscopic cholecystectomy:with a report of 17 cases |
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Institution: | ZHANG Bin,ZHANG Hu,LIAO Meng-hua,et al.Department of General Surgery,the People’s Hospital of Langxi County,Xuancheng 242100,China |
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Abstract: | Objective:To discuss the application of transumbilical single-port laparoscopic cholecystectomy,and summarize the operation experience.Methods:The clinical data of 17 cases underwent transumbilical single-port laparoscopic cholecystectomy was retrospectively analyzed.Results:Seventeen cases were successful.The operation time was 40-100 min(mean 75 min).No complications occurred,patients were discharged in 3 days after surgery,umbilical scar was hidden.Patients were satisfactory on treatment and cosmetic effect of transumbilical single-port laparoscopic cholecystectomy.Conclusions:Transumbilical single-port laparoscopic cholecystectomy is safe and feasible,but difficult than traditional LC,the technical requirement of operator is higher.It is worth popularizing with no scar and cosmetic effect. |
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Keywords: | Cholecystectomy laparoscopic Single-port Transumbilical Case reports |
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