腹腔镜外科杂志2018，Vol.23Issue(5)：367-370,4.DOI:10.13499/j.cnki.fqjwkzz.2018.05.367
经脐单孔腹腔镜胆囊切除术的技术改进与手术技巧
Technical improvement and surgical skills of transumbilical single－port laparoscopic cholecystectomy
黄启荣 1杜波 1刘伟 1姜梦淼 1杨馨 1杨晓进2
作者信息
- 1. 都江堰宏惠医院,四川 成都,611830
- 2. 都江堰宏惠医院,四川 成都,611830
- 折叠
摘要
Abstract
Objective:To explore the improvement and surgical skills of transumbilical single－port laparoscopic cholecystecto－my.Methods:The clinical data of 257 patients who underwent transumbilical single－port laparoscopic cholecystectomy from Oct.2015 to Nov.2017 were retrospectively analyzed.Among these patients,242 cases were gallbladder calculi and 15 were gallbladder polyp.Re－sults:Of all the 257 patients,246 patients (95.7%) were successfully conducted transumbilical single－port laparoscopic cholecystecto－my while the other 11 patients (4.3%) were converted to double－port laparoscopic cholecystectomy for the unclear Calot triangle with－out conversion to laparotomy.The duration of operation was from 15 min to 150 min with the average of (50.3±21.5) min.The intraop－erative blood loss was 1 ml to 50 ml with the mean of (7.4±4.4) ml.Three cases of postoperative incision bleeding ,2 cases of subcuta－neous emphysema and 1 case of secondary choledocholithiasis were found.Short－term severe postoperative complications such as intrap－eritoneal hemorrhage ,bile duct injury or bile leakage were not found.There were no long－term complications such as biliary strictures or umbilical hernia.The umbilical incisions were hidden well with almost invisible scar during the follow up of 1 to 24 months.Conclu－sions:With the improvement of transumbilical single－port laparoscopic cholecystectomy ,it is safe and reliable to conduct this operation on the basis of mastering certain surgical skills.关键词
胆囊切除术,腹腔镜/经脐/单孔Key words
Cholecystectomyl,aparoscopic/Transumbilicus/Single－port分类
医药卫生引用本文复制引用
黄启荣,杜波,刘伟,姜梦淼,杨馨,杨晓进..经脐单孔腹腔镜胆囊切除术的技术改进与手术技巧[J].腹腔镜外科杂志,2018,23(5):367-370,4.
