经脐单孔腹腔镜胆囊切除术临床应用探讨(附31例报告).pdfVIP

经脐单孔腹腔镜胆囊切除术临床应用探讨 (附31例报告) 刘玉祥‘吴庆华陈勇 姜绪平鲁兵张钧何小军 (武警上海市总队医院普外科，上海201103) ·通讯作者：刘玉祥，54岁，硕士学历，主任医师 【摘要l 目的探讨经脐单孔腹腔镜胆囊切除术临床应用的安全性及可行性。方法总结分析我院于2010年3月至 12月间开展的3l例经脐单孔腹腔镜胆囊切除术。观察所有病例的手术时间、术中失血量、中转情况、术后肠功能恢复时间 天，术后住院时间2．5天。所有病例术后恢复均平稳，患者对术后美容效果满意。结论经脐单孔腹腔镜胆囊切除术在技 术操作上是安全可行的。临床应用中需掌握相应的手术指征和操作要点；同时需进一步积累大宗病例，以证实其社会经济学 效益优势。 I关键词】胆囊切除术；腹腔镜；单孔；经脐入路 Clinical ofTransumbilical of31CasesL／u AppHcafion Single-portLaparoscopicCholecystectomy：ReportYuxiang,Wu ArmedPoliceForce 201103，China Qinghua,ChenYong,eta1．Departmentofgeneralsurgery,Shanghai Hospital,Shanghai 【Abstractl To the and oftrarmumbilieal Objectiveinvestigatesafetyfeasibility single．portlaparoscopiceholecystectomy． MethodsThe enrolled31 transumbilical fromMarchto study patientsundergoing single-portlaparoscopiccholeeystectomy December2010in ArmedPoliceForce bloodlossand rehabilitativedata Shanghai Hospital．Operatingtime，operative postoperative were Ofthe31 of of blood cases，number analysed．Results intraoperativeconversion，meanoperatingtime，operativeloss，time to and bowelmovement Was min,27．1 and postoperativehospitalstay 2，50．7 ml，1．3days ofallthe Wasuneventful．Thew讹satisfiedwith cosmeticoutcomesofthe recovery patients patients postoperative procedure． ConclusionsTransumbilical issafeandfeasible single—port cholecystectomy surgical laparoscopic technically．Appropriate indicationsand shouldbemasteredinclinical accumulativecase$aretobeachievedtoconfirm teeniques application．Further its socio