摘要
目的探讨常规腹腔镜器械下经脐单孔腹腔镜胆囊切除术的操作体会。方法回顾性分析我院2010年3月施行的4例在常规腹腔镜器械下经脐单孔腹腔镜胆囊切除术患者的临床资料。结果 4例均顺利完成手术,平均手术时间67.5min(60～90min),无漏胆、出血、腹腔包裹性积液和脐疝等并发症发生,术后平均住院3.2天(2～4天)。结论经脐单孔腹腔镜胆囊切除术在常规腔镜器械下可以安全、可靠地完成,术后腹壁疤痕不明显,但操作者需有一定胆道腔镜操作经验,以避免胆道损伤的发生。
Objective To explore the experience of laparoscopic cholecystectomy through a transumbilical single incision.Methods The clinical data of 4 patients with gallbladder calculi or polypswho underwent transumbilical single incision laparoscopic cholecystectomy were retrospectively analyzed.Results The mean operative time was 67.5 min（60～90 min）.No complications occurred intraoperatively or postoperatively.The average time of hospitalization was 3day（2～4 day） after surgery.Conclusions：Transumbilical single incision laparoscopic cholecystectomy can be completed safely by nomal laparoscopic instrument.The umbilical scar wasn ′t obvious,But the operator need abundant experience of laparoscopic operation to avoid biliary injury.
出处
《肝胆外科杂志》
2010年第3期195-196,共2页
Journal of Hepatobiliary Surgery
关键词
腹腔镜胆囊切除
单孔
胆囊疾病
laparoscopic choecystectomy
single incision
gallbladder disease
