应用操作腹腔镜单切口切除体表巨大脂肪瘤

Application of operational laparoscopy with single-incision for excision of large subcutaneous lipoma

目的:探讨应用操作腹腔镜单切口切除体表巨大脂肪瘤的方法及疗效。方法:采用肿胀麻醉,用操作腹腔镜结合吸脂术,仅1.0cm切口将体表巨大脂肪瘤切除。结果:13例脂肪瘤均彻底切除,术后无出血、感染、皮下积液、局部凹陷等并发症,随访10～18月,无复发,医患均满意。结论:应用操作腹腔镜结合吸脂术切除体表巨大脂肪瘤安全有效、微创、美观,值的临床应用。

Objective To investigate the methods and outcome of the application of operational laparoscopy with single- incision for excision of large subcutaneous lipoma. Methods Under tumescent anesthesia, to totally remove large subcutaneous lipoma by operational laparoscopy assisted with liposuction and a 1.0cm incision. Results Of 13 patients with this operation, all the cases were followed up 10-18 months.There was no recurrence or any complication. Both doctors and patients were satisfied with the post-operative outcome. Conclusions The method of excision for large subcutaneous lipoma through operational laparoscopy is effective,safe and mini-invasive.lt will be some value for clinical application.