经脐入路腹腔镜胆囊切除术(附18例报道)

Transumbilical Laparoscopic Cholecystectomy(Report of 18 Cases)

目的探讨经脐入路行腹腔镜胆囊切除术的可行性。方法对18例采用仅在脐部切开一个切口进行腹腔镜胆囊切除术患者的临床资料进行回顾性分析。结果18例患者手术均获成功,无中转常规腹腔镜手术或开腹手术。术中出血少(<2ml),手术时间40～130(58±10)min。术后无出血、胆管损伤等并发症发生。术后1d出院,术后1个月门诊随访,患者恢复顺利,除脐部外,腹壁无手术瘢痕。结论经脐入路腹腔镜胆囊切除术技术上是可行的,但手术难度较大,在开展该手术初期应慎重选择病例。

Objective To investigate the feasibility of laparoscopic cholecystectomy through the transumbilical approach.Methods The clinical data of 18 patients underwent endoscopic cholecystectomy through only one transumbilical incision at West China Hospital were retrospectively analyzed.Results All of the operations were successfully completed without conversion to routine laparoscopic surgery or open surgery.The operation time was 40-130（58±10）min.There was no intraoperative complication.The patients did well postoperatively and were discharged 1 day after operation.There was no postoperative complications and without visible abdominal scar on 1 month follow-up.Conclusions Laparoscopic cholecystectomy through the transumbilical approach is technically feasible and safe.But this technique is difficult,the patients should be selected carefully.