经脐入路单一切口腹腔镜胆囊切除术的回顾与分析
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摘要
目的回顾性分析经脐入路单一切口腹腔镜胆囊切除术的可行性、安全性和美容效果。方法回顾性分析该院2013年5月—2014年5月使用常规器械经脐入路单一切口腹腔镜胆囊切除术96例临床资料及讨论手术技巧与手术器械对手术的影响。结果 96例手术均获成功,无中转开腹,手术时间30～90 min,平均(40±8)min,术后住院时间1～5(2.5±0.5)d,术后随访1～3个月,无并发症发生,切口隐蔽。结论在当前条件下,提高手术技巧要远比使用新型器械更能让广大患者在经济上和心理上接受。应用常规器械经脐单孔腹腔镜胆囊切除是安全可行的,脐部瘢痕小且隐匿美观,极具推广价值。
Objective To retrospectively analyze the feasibility, safety and cosmetic effects of laparoscopic cholecystectomy with single incision through the umbilical approach. Methods Retrospective analysis of the clinical data of 96 patients with laparoscopic cholecystectomy using conventional instruments through the umbilical approach from May2013 to May 2014. The effects of surgical techniques and surgical instruments on surgery were discussed. Results All the 96 cases were successful, no conversion to open surgery, operation time 30～90 min,(40±8)min, postoperative hospital stay 1-5 d(2.5±0.5)d, postoperative follow-up 1-3 months, no complications occurs, the incision is hidden. Conclusion Under current conditions, improving surgical skills is far more economically and psychologically acceptable than using new devices. The use of conventional instruments through the umbilical single-port laparoscopic cholecystectomy is safe and feasible, and the umbilical scar is small and concealed, which is of great value.
Objective To retrospectively analyze the feasibility, safety and cosmetic effects of laparoscopic cholecystectomy with single incision through the umbilical approach. Methods Retrospective analysis of the clinical data of 96 patients with laparoscopic cholecystectomy using conventional instruments through the umbilical approach from May2013 to May 2014. The effects of surgical techniques and surgical instruments on surgery were discussed. Results All the 96 cases were successful, no conversion to open surgery, operation time 30～90 min,(40±8)min, postoperative hospital stay 1-5 d(2.5±0.5)d, postoperative follow-up 1-3 months, no complications occurs, the incision is hidden. Conclusion Under current conditions, improving surgical skills is far more economically and psychologically acceptable than using new devices. The use of conventional instruments through the umbilical single-port laparoscopic cholecystectomy is safe and feasible, and the umbilical scar is small and concealed, which is of great value.
引文
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[2]陈永生,吴硕东,孔静.改良脐部重建法在经脐单切口腹腔镜手术中的应用[J].中国现代普通外科进展,2017(3):182-183.
[3]陈小明.经脐单切口与三孔腹腔镜胆囊切除术的临床效果的对比研究[J].浙江创伤外科,2015(5):869-871.
[4]吴庆华,包皙婷,孔雷,等.使用常规器械经脐入路腹腔镜胆囊切除术491例报告[J].肝胆胰外科杂志.2016(4)265-269.
[5]吴庆华,刘玉祥,陈勇,等.常规器械经脐入路与传统腹腔镜胆囊切除术的前瞻性随机对照研究[J].中国微创外科杂志,2015(8):687-691.
[6]熊仁青,单娜,佟德明,等.常规器械经脐单切口与3孔法腹腔镜胆囊切除术临床对比研究[J].中华腔镜外科杂志:电子版,2015(2):139-141.
[7]Taro Ikumoto,Hidetsugu Yamagishi,Mineo Iwatate.Feasibil ity of single-incision laparoscopic cholecystectomy for acute cholecystitis[J].World Journal of Gastrointestinal Endoscopy,2015(19):1327-1333.
[8]张光永,胡三元,李峰.经脐单孔腹腔镜胆囊切除术[J]腹腔镜外科杂志,2009,14(1):18-20.
[9]张乔冶.达芬奇手术机器人系统及其应用[J].医疗装备,2016(9):197-198.
[10]朱皓阳,董鼎辉,任冯刚,等.单孔腹腔镜灵活器械的现状及前景[J].中国医疗器械杂志,2015(6):437-441.
[2]陈永生,吴硕东,孔静.改良脐部重建法在经脐单切口腹腔镜手术中的应用[J].中国现代普通外科进展,2017(3):182-183.
[3]陈小明.经脐单切口与三孔腹腔镜胆囊切除术的临床效果的对比研究[J].浙江创伤外科,2015(5):869-871.
[4]吴庆华,包皙婷,孔雷,等.使用常规器械经脐入路腹腔镜胆囊切除术491例报告[J].肝胆胰外科杂志.2016(4)265-269.
[5]吴庆华,刘玉祥,陈勇,等.常规器械经脐入路与传统腹腔镜胆囊切除术的前瞻性随机对照研究[J].中国微创外科杂志,2015(8):687-691.
[6]熊仁青,单娜,佟德明,等.常规器械经脐单切口与3孔法腹腔镜胆囊切除术临床对比研究[J].中华腔镜外科杂志:电子版,2015(2):139-141.
[7]Taro Ikumoto,Hidetsugu Yamagishi,Mineo Iwatate.Feasibil ity of single-incision laparoscopic cholecystectomy for acute cholecystitis[J].World Journal of Gastrointestinal Endoscopy,2015(19):1327-1333.
[8]张光永,胡三元,李峰.经脐单孔腹腔镜胆囊切除术[J]腹腔镜外科杂志,2009,14(1):18-20.
[9]张乔冶.达芬奇手术机器人系统及其应用[J].医疗装备,2016(9):197-198.
[10]朱皓阳,董鼎辉,任冯刚,等.单孔腹腔镜灵活器械的现状及前景[J].中国医疗器械杂志,2015(6):437-441.