CAJ | 학술논문

目的探讨改良二孔法腹腔镜胆囊切除术(LC)中的临床应用,寻求更具微创意义的LC的新术式.方法采用改良二孔法完成LC 176例.结果 174例顺利完成手术,平均手术时间(27.8±7.1)min,术后住院天数(2.7±0.8)d;2例改为三孔法,均无中转开腹及并发症发生.随访3～10个月,平均6个月,无腹痛、黄疸发生.结论在熟练三孔法LC的基础上,选择合适病例,开展二孔法LC是安全、有效的,使微创技术得到进一步的提高.
목적 탐토개량이공법복강경담낭절제술(LC)중적림상응용,심구경구미창의의적LC적신술식.방법 채용개량이공법완성LC 176례.결과 174례순리완성수술,평균수술시간(27.8±7.1)min,술후주원천수(2.7±0.8)d;2례개위삼공법,균무중전개복급병발증발생.수방3～10개월,평균6개월,무복통、황달발생.결론 재숙련삼공법LC적기출상,선택합괄병례,개전이공법LC시안전、유효적,사미창기술득도진일보적제고.
Objective To study the application of modified two-hole laparoscopic cholecystectomy ( LC) for exploring new minimal invasive LC approach. Methods 176 patients with calculous cholecystitis and polypus of cholecyst underwent LC through two abdominal holes. Results 174 gallbladders were removed successfully by modified two-hole LC. The average time of operation was 27.8±7.1minute. The average hospitalized stays of post operation were 2.7±0.8 day. There were two patients whose operation had to be converted to tradition three-hole LC. There were no complication and conversion of open cholecystectomy in all patients. During an average follow-up time of 6 monthw, ranged from 3 to 10month, there were no abdominal pain and jaundice happened to patients. Conclusions The application of modified two-hole LC is a safe and effective LC approach on the basis of skillful perform of traditional three-hole LC. It can reduce the injury to patients and advance the technique of ninimal invasive surgery further.