改良三孔法腹腔镜胆囊切除术48例临床应用

Clinical experience on the modified three-port laparoscopic cholecystectomy in 48 cases

目的：探讨改良三孔法腹腔镜胆囊切除术手术疗效和临床应用价值。方法：回顾分析我院2009年8月-2013年4月48例行改良三孔法腹腔镜胆囊切除手术病例,术中使用常规腹腔镜手术器械行改良三孔法腹腔镜胆囊切除术。结果：48例患者均采用改良三孔法顺利完成手术,术中未增加腹壁切口,无中转开放手术,患者术后切口疼痛轻微,无戳孔感染、出血、胆漏、胆管损伤等手术并发症发生。术后随访3-12月,美容效果满意。结论：在传统腹腔镜胆囊切除经验基础上行改良三孔法腹腔镜胆囊切除术,无需特殊手术器械,具有操作相对简单、手术安全可靠、术后脐部疤痕隐蔽等优点,同三孔法相比能更好地满足患者对微创美容的要求。

Objective：To evaluate the clinical effects and values of modified three-port laparoscopic cholecystectomy. Methods：The data were retrospectively analyzed in 48 patients undergone laparoscopic cholecystectomy by modified three-port technique in our hospital between August 2009 and April 2013. The procedure was performed by conventional laparoscopic instrument assisted with three-port technique. Results：The procedure was successful in 48 patients, without requirements of additional abdominal wall incision or conversion to open surgery. Although the patients experienced slight wound pain after procedure, yet there were no post-operative complications such as port infection, bleeding, bile leakage, or biliary duct injury. Post-operative follow-up in 3 to 12 months showed that the patients were satisfied with cosmetic effect. Conclusion：Modified three-port technique on conventional laparoscopic cholecystectomy basis can eliminate the requirements of extra surgical instruments, and make simple performance, safe operation and cancelled belly scar as well as better cosmetic results.