经脐单孔腹腔镜保胆取石术六例

Transumbilical preservation of gallbladder and removal of calculus by single-port laparoscopy:6 cases report

目的探讨单孔腹腔镜保留胆囊取石术的可行性、安全性及技术方法。方法本组6例,脐下弧形切口1.5～2cm,置入多通道套管,使用常规腹腔镜改良的加长两端弯曲的电凝钩、分离钳、剪刀、持针器等。结果 6例手术均顺利完成,无中转开腹和转为常规腹腔镜手术。手术时间平均66min,出血量5～30ml。无术后出血及胆漏等并发症发生。术后第1天进流质食,第2天出院。结论单孔腹腔镜保留胆囊取石是安全、可行的,但技术操作难度较常规腹腔镜手术大。技术更微创,具有术后疼痛轻、无明显手术瘢痕、切口美观等优点,适于临床推广。

Objective To discuss the feasibility,safety and technical methods of transumbilical preservation of gallbladder and removal of calculus by single-port laparoscopy.Methods Six patients in this group,1.5-2 cm incision below the belly button curved,multi-channel tube placement,the use of conventional laparoscopy,the modified extended at both ends of curved hook coagulation,separation of pliers,scissors,needle holder and so on.Results Six cases were successfully completed without conversion,and converted to conventional laparoscopic surgery,operation time was 66 minutes,bleeding 5-30 ml.No postoperative complications such as bleeding and bile leakage occurred.Postoperative day 1 into the liquid,the first 2 days and discharged.Conclusions Transumbilical preservation of gallbladder and removal of calculus by single-port laparoscopy is safe and feasible operation.It is more difficult than laparoscopy cholecyslectomy.More minimally invasive techniques,with postoperative pain,no surgical scar,wound appearance,etc,suitable for clinical practice.