南方医科大学学报2013，Vol.33Issue(7)：1097-1098,封3,3.DOI:10.3969/j.issn.1673-4254.2013.07.35
常规器械经脐三孔法行腹腔镜胆囊切除
Three-port transumbilical endoscopic cholecystectomy performed using conventional laparoscopic instruments
摘要
Abstract
Objective To evaluate the clinical efficacy and safety of three-port transumbilical endoscopic cholecystectomy performed using conventional laparoscopic instruments.Methods Thirty-two patients undergoing three-port transumbilical endoscopic cholecystectomy using conventional laparoscopic instruments (group A) with 3 ports around the umbilicus were compared with 96 patients (group B) receiving the conventional 4-port routine endoscopic cholecystectomy.Results All the procedures were successfully completed without conversion to open laparotomy.In group A,the procedures were completed smoothly in 30 cases while 2 cases required another port (5 mm) punctured below the xyphoid due to severe adhesion around the cyst.The median operating time was 39.7±5.2 min in group A,significantly longer than that in group B (25.3±3.3 min,P＜ 0.001),but the patients in group A obtained better cosmetic results (P＜0.001); the median blood loss,recovery time of postoperative intestine function,length of postoperative hospital stay,and the rate of use of postoperative painkillers were comparable between the two groups.Bile leakage or other postoperative complications occurred in none of cases in the two groups.Conclusion In cases without severe adhesion around the cyct,three-port transumbilical endoscopic cholecystectomyusing conventional laparoscopic instruments is a safe and feasible alternative to routine endoscopic cholecystectomy with better cosmtic results.关键词
腹腔镜/胆囊切除术/经脐手术Key words
laparoscopy/ cholecystectomy/ transumbilical surgery引用本文复制引用
胡友主,王存川,刘贤明,沈莹莹,李进义,杨景哥,喻春亮,喻海波..常规器械经脐三孔法行腹腔镜胆囊切除[J].南方医科大学学报,2013,33(7):1097-1098,封3,3.基金项目
广东省适宜卫生技术推广项目(粤卫2011-108-11号) （粤卫2011-108-11号）
