摘要
目的:评价经脐单孔腹腔镜胆囊切除术(transumbilical single-port laparoscopic cholecystectomy,TUSPLC)的临床应用效果。方法:2009年6月至2010年2月为49例患者用常规器械行TUSPLC,观察手术可行性、安全性、微创性及美容效果。结果:48例(98%)成功,1例中转三孔腹腔镜胆囊切除术。手术时间平均53min,术中无并发症发生。术后发生切口血肿1例,积液2例。结论:TUSPLC技术上可行且相对安全,先行术中腹腔镜探查可有效降低手术中转率。切口并发症可能增加。疤痕得到较好隐藏是其主要优势。适于对美容效果有较高要求的患者。
Objective:To evaluate the clinical application effect of transumbilical single-port laparoscopic cholecystectomy(TUSPLC).Methods:From Jun.2009 to Feb.2010,TUSPLC was performed in 49 patients using conventional instruments.The feasibility,safety,minimal invasiveness and cosmetic result of the technique were observed.Results:TUSPLC was completed in 48 patients(98%) with one conversion to three-port laparoscopic cholecystectomy.The mean operating time was 53min.No intraoperative complications happened.1 umbilical hematoma and 2 seroma occurred after operations.Conclusions:TUSPLC is feasible and safe.The conversion rate can be effectively decreased by laparoscopic exploration.The incisional complications may increase.The main advantage of the procedure is that the scar is well-concealed.TUSPLC should be indicated for patients with higher cosmetic demand.
出处
《腹腔镜外科杂志》
2010年第8期601-603,共3页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
经脐
单孔
外科手术
微创性
Cholecystectomy
laparoscopic
Transumbilicus
Single-port
Surgical procedures
minimally invasive