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经脐单孔腹腔镜联合胆道镜微创保胆术161例报告

王旭菁 王永坤 陈波

中国伤残医学2016,Vol.24Issue(18):12-14,3.
中国伤残医学2016,Vol.24Issue(18):12-14,3.DOI:10.13214/j.cnki.cjotadm.2016.18.008

经脐单孔腹腔镜联合胆道镜微创保胆术161例报告

Single port laparoscopic combined biliary endoscopy minimally invasive preservation of gallbladder 161 cases report

王旭菁 1王永坤 1陈波1

作者信息

  • 1. 同济大学附属东方医院肝胆胰病外科,上海 200120
  • 折叠

摘要

Abstract

Objective:To investigate the safety and efficacy of single port laparoscopic combined with minimally invasive gallbladder preserving biliary endoscopy for the treatment of gallbladder stones (polyps).Methods:Retrospective analysis of 2012 January to 2015 January, the clinical data of 161 cases of minimally invasive preservation of bile duct by umbilical single port laparoscopy combined with biliary endoscopy.Results:The patients in this group were operated successfully , the operation time was 30-115min, the average (70. 3 ±15.8) min, the bleeding volume was 5-50ml, the average (15.5 ±5.7) ml, postoperative hospitalization days , the average was 3. 4 ±0.7.There were 6 cases of malignant vomiting , 1 cases of incision fat liquefaction , postoperative urinary retention in 1 cases, diarrhea in 1 cases, after symptomatic treatment were cured and discharged .Follow up 3-36 months, 131 cases were followed up , the rate of fail-ure was 18.6%.Recurrence occurred in 3 cases, the recurrence rate was 1.9%, and the two operation was cured.Conclusion: The safety and feasibility of laparoscopic minimally invasive gallbladder preserving biliary endoscopy for gallbladder stones ( polyps) was safe and feasible by umbilical single port laparoscopy combined with biliary endoscopy , which have the advantages of less trauma , less compli-cations, low recurrence rate and fast recovery , can improve the quality of life of patients after surgery .

关键词

单孔腹腔镜/胆道镜/病例报告

Key words

Single port laparoscopic/Biliary endoscopy/Case report

分类

医药卫生

引用本文复制引用

王旭菁,王永坤,陈波..经脐单孔腹腔镜联合胆道镜微创保胆术161例报告[J].中国伤残医学,2016,24(18):12-14,3.

中国伤残医学

1673-6567

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