经脐单孔腹腔镜手术58例临床分析.docVIP

经脐单孔腹腔镜手术58例临床分析 发表时间：2011-4-6 9:06:59 来源：创新医学网医学编辑部推荐 作者：董杨帆，居来提·艾力， 杨东鹰， 邓明飞， 樊晓静， 史志涛， 刘郁， 张增峰 作者单位： 新疆医科大学附属中医医院普外一科, 新疆乌鲁木齐830000 【摘要】 目的探讨经脐单孔腹腔镜技术的可行性和临床应用前景。 方法回顾性分析2009年4月～2010年4月新疆医科大学附属中医医院普外科完成58例经脐单孔腹腔镜手术患者的手术时间、出血量、并发症及术后恢复情况等。 结果共完成56例经脐单孔腹腔镜手术，其中胆囊切除术30例，阑尾切除术18例，肝囊肿开窗术8例。2例经脐单孔腹腔镜胆囊切除术因操作困难中转为常规腹腔镜胆囊切除术。胆囊组手术时间为48～120 min,平均 66±25 min;阑尾组手术时间为15～40 min,平均 22±20 min;肝囊肿组手术时间为34～52 min,平均 42±16 min。术中无明显出血。术后未发生胆漏、腹腔感染、切口感染等并发症。术后平均2.8 d出院。手术切口瘢痕隐蔽不易察觉,病人对美容效果十分满意。结论经脐单孔腹腔镜手术可实现腹壁无瘢痕化，减少切口感染几率，但操作难度较大,可以在慎重选择病例的基础上开展。 　　【关键词】 经脐单孔腹腔镜技术; 胆囊切除术; 阑尾切除术; 肝囊肿开窗术 　　Analysis of 58 cases of transumbilical singleincision laparoscopic surgery 　　DONG Yangfan, DUAN Shaobin, Julaiti·Aili, et al Department of General Surgery, Affiliated Traditional Chinese Medicine Hospital， 　　Xinjiang Medical University, Urumqi 830000, China Abstract： ObjectiveTo evaluate the clinical feasibility of the transumbilical singleincision laparoscopic surgery. Methods The methods and clinical effects of 58 cases of transumbilical singleincision laparoscopic surgery performed between April, 2009 and April 2010 at department of general surgery affiliated to traditional Chinese medicine hospital of Xinjiang Medical University were analyzed. ResultsThe transumbilical singleincision laparoscopic operations of 56 cases were completed successfully while 2 cases were converted to routine laparoscopic cholecystectomy due to difficulties in operations. There was no significant bleeding during the operation. The operating time of 30 cases of laparoscopic cholecystectomy was 48 to 120 minutes and the average surgery time was 66±25 minutes. The operating time of 18 cases of laparoscopic appendectomy was 15 to 40 minutes and the average surgery time was 22±20 minutes. The operating time of 8 cases of laparoscopic fenestration in hepatic cyst was 34 to 52 minutes and the average surgery time was 42±16 minutes. No postoperation complications such as biliary fistula, abdominal infection a