CAJ | 학술논문

目的总结经脐单孔腹腔镜胆囊切除术的手术经验.方法回顾性分析2010年5-10月实施的经脐单孔腹腔镜胆囊切除术15例患者的临床资料.结果 15例患者手术时间30～85(45±16)min,术后住院时间(2.5±1.1)d,术后无一例发生出血、胆瘘等并发症.术后腹部瘢痕隐蔽,美容效果佳.结论经脐单孔腹腔镜胆囊切除术安全可行,术后恢复快,美容效果好,但较传统腹腔镜胆囊切除术难度增加,早期开展经脐单孔腹腔镜胆囊切除术适应证选择很关键.
목적 총결경제단공복강경담낭절제술적수술경험.방법 회고성분석2010년5-10월실시적경제단공복강경담낭절제술15례환자적림상자료.결과 15례환자수술시간30～85(45±16)min,술후주원시간(2.5±1.1)d,술후무일례발생출혈、담루등병발증.술후복부반흔은폐,미용효과가.결론 경제단공복강경담낭절제술안전가행,술후회복쾌,미용효과호,단교전통복강경담낭절제술난도증가,조기개전경제단공복강경담낭절제술괄응증선택흔관건.
Objective To summarize the operative experience of transumbilical single-port laparoscopic cholecystectomy. Method The clinical data of 15 patients underwent transumbilical singleport laparoscopic cholecystectomy between May to October in 2010 was reviewed. Results The operative time was 30-85(45±16) min,hospitalization time was (2.5 ± 1.1 ) d. No surgical complications such as bile leak or uncontrolled hemorrhage occurred postoperatively. All the incision were healed well and the surgical scar was virtually concealed whithin the umbilicus. Conclusions Transumbilical single-port laparoscopic cholecystectomy is feasible and safe when patients are well selected. Comparing with conventional laparoscopic cholecystectomy, it's more manipulatively difficult.