CAJ | 학술논문

目的探讨经脐单孔腹腔镜手术过程中超声刀的应用价值.方法 2009年5月至2009年12月共完成经脐单孔腹腔镜手术 42 例,男 22 例,女 20 例,年龄 17～73 岁,其中经脐单孔腹腔镜阑尾切除术 21 例,经脐单孔腹腔镜肠粘连松解术 8 例,经脐单孔腹腔镜胆囊切除术 13 例.在 42 例经脐单孔腹腔镜手术中,使用超声刀和可弯曲的加长腹腔镜器械完成操作.结果全部患者手术均获成功,无中转常规腹腔镜手术或开腹手术,手术过程顺利,术野清晰,手术出血量均＜ 30 ml,无术后继发出血和其他并发症发生.结论使用超声刀和相应手术器械完成经脐单孔腹腔镜手术安全可行,具有瘢痕隐蔽、组织损伤小等优点,深化了腹腔镜手术的微创理念,值得推广.
목적 탐토경제단공복강경수술과정중초성도적응용개치.방법 2009년5월지2009년12월공완성경제단공복강경수술 42 례,남 22 례,녀 20 례,년령 17～73 세,기중경제단공복강경란미절제술 21 례,경제단공복강경장점련송해술 8 례,경제단공복강경담낭절제술 13 례.재 42 례경제단공복강경수술중,사용초성도화가만곡적가장복강경기계완성조작.결과 전부환자수술균획성공,무중전상규복강경수술혹개복수술,수술과정순리,술야청석,수술출혈량균＜ 30 ml,무술후계발출혈화기타병발증발생.결론 사용초성도화상응수술기계완성경제단공복강경수술안전가행,구유반흔은폐、조직손상소등우점,심화료복강경수술적미창이념,치득추엄.
Objective To evaluate the technically feasibleness and the effect of ultracision harmonic scalpel used in transumbilical single port laparoscopic surgery. Methods From May 2009 to December 2009, 42 cases of single umbilical port laparoscopic surgery were completed, 22 male and 20 female, aged 17 to 73 years. Through only one transumbilical incision,42 patients were underwent laparoscopic operation with ultracision harmonic scalpel and flexible instruments. Results All of the operations were successfully completed without conversion to routine laparoscopic surgery or open surgery. During the operation the vision was good and the instruments didn't influence each other. The bleeding was less than 30 ml. There was no intraoperative complication. Conclusions It is feasible and safe to do transumbilical laparoscopic single port surgery using ultracision harmonic scalpel and flexible instruments. It has the advantages of less invasion and improved cosmetic effect, compared to routine laparoscopic surgery.