CAJ | 학술논문

目的探讨经脐单孔腹腔镜行阑尾切除术在普通外科中的应用,总结早期手术经验.方法回顾性分析2010年4月至2011年4月威海市文登中心医院普外科经脐单孔腹腔镜阑尾切除术51例患者的临床资料.结果 51例患者行经脐单孔腹腔镜阑尾切除术,其中9例患者因阑尾周围粘连严重转为三孔法操作(中转率17.65％).手术时间25～50 min,平均35.5 min,出血量3～5ml,无切口感染,无手术相关并发症.平均恢复排气时间21.6h,术后平均住院时间3.65 d.术后随访2周～3个月,脐部切口瘢痕不明显、无脐疝出现,美容效果好.术后随访4个月,恢复良好.结论经脐单孔腹腔镜阑尾切除术安全可行,具有微创、美观、疗效确切等优点,手术操作难度较传统腹腔镜手术高,应谨慎把握手术适应证,由经验丰富的腹腔镜医师开展.
목적 탐토경제단공복강경행란미절제술재보통외과중적응용,총결조기수술경험.방법 회고성분석2010년4월지2011년4월위해시문등중심의원보외과경제단공복강경란미절제술51례환자적림상자료.결과 51례환자행경제단공복강경란미절제술,기중9례환자인란미주위점련엄중전위삼공법조작(중전솔17.65％).수술시간25～50 min,평균35.5 min,출혈량3～5ml,무절구감염,무수술상관병발증.평균회복배기시간21.6h,술후평균주원시간3.65 d.술후수방2주～3개월,제부절구반흔불명현、무제산출현,미용효과호.술후수방4개월,회복량호.결론 경제단공복강경란미절제술안전가행,구유미창、미관、료효학절등우점,수술조작난도교전통복강경수술고,응근신파악수술괄응증,유경험봉부적 복강경의사개전.
Objective To evaluate the application of laparoscopic single-site surgery in general surgery and to summarize initial experience.Methods The clinical data of 51 adult patients performed Laparoscopic-endoscopic single-site surgery(LESS) from April 2010 to April 2011 at Wendeng Central Hospital were analyzed retrospectively.Results In 51 patients,39 patients were performed LESS appendectomy and 9 of them were converted to standard laparoscopic appendectomy due to severe adhesion( transfer rate 17.65％ ).There was no wound infection.In following 4 months,no other complications appeared.Conclusions LESS is safe,feasible,minimally invasive and cosmetic.But the surgical procedures are more difficult than traditional laparoscopic suegery.The operative indications should be controlled carefully and it should be performed by experienced laparoscopic surgeons.