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经脐单孔针式腹腔镜胆囊切除术326例临床观察

周群 吴宁 刘海亮 李强 石党军 吴建全

中国实用外科杂志2011,Vol.31Issue(3):246-248,3.
中国实用外科杂志2011,Vol.31Issue(3):246-248,3.

经脐单孔针式腹腔镜胆囊切除术326例临床观察

Transumbilical single port needle-laparoscopic cholecystectomy:an analysis of 326 cases

周群 1吴宁 1刘海亮 1李强 1石党军 1吴建全1

作者信息

  • 1. 中国人民解放军第451医院全军腹腔镜治疗中心,陕西西安710054
  • 折叠

摘要

Abstract

Objective To explore the security and feasibility of the transumbilical single port needle-laparoscopic cholecystectomy (TUSPLC). Methods The clinical data of 326 patients performed TUSPLC used by needle laparoscopic and curved apparatus from February to October 2010 at Chinese People' s Liberation Army 451 Hospital were analyzed retrospectively. Results Among 326 patients, 301 patients were performed TUSPLC successfully with no operation complication occurred, such as jaundice, hemorrhage and wound infection, etc. The mean operation time was 35.5min. The mean blood loss was 17.2mL. Other 24 patients were transferred to 3 or 4 port LC because of adherence, inflammation, anatomy variation, large wound area in Calot's triangle and necessary drainage. Effusion in the fossa of gallbladder within 4 days after operation happened in one patient who were treated well with laparoscopic exploration and drainage. All patients were followed up from 2 weeks to 3 months. The scars were so small and hidden in the fovea umbilicalis that there were not obviously visible scars on abdominal wall. Conclusion Operators should deal with the surgical indications carefully before and in the operations. TUSPLC is safe and has the aesthetic advantage obviously.

关键词

腹腔镜/胆囊切除术/单孔

分类

医药卫生

引用本文复制引用

周群,吴宁,刘海亮,李强,石党军,吴建全..经脐单孔针式腹腔镜胆囊切除术326例临床观察[J].中国实用外科杂志,2011,31(3):246-248,3.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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