CAJ | 학술논문

目的：探讨经脐单孔腹腔镜胆囊切除术可行性。方法回顾分析本院于2012年8月-2013年8月18例经脐单孔腹腔镜切除术病人的临床资料。结果18例病人都安全出院，除1例出现切口感染，另一例出现切口脂肪液化，两者经换药后延期愈合外，其余病例伤口愈合好，切口瘢痕隐蔽不易发现，美容效果满意。未出现术后胆汁漏，术后出血，胆管损伤，等并发症。结论选择合适的胆囊疾病患者，经脐单孔腹腔镜胆囊切除术（TUSPLC）安全有效，且更具微创性，美观效果更佳，是现阶段最具可行无瘢痕技术。
목적：탐토경제단공복강경담낭절제술가행성。방법회고분석본원우2012년8월-2013년8월18례경제단공복강경절제술병인적림상자료。결과18례병인도안전출원，제1례출현절구감염，령일례출현절구지방액화，량자경환약후연기유합외，기여병례상구유합호，절구반흔은폐불역발현，미용효과만의。미출현술후담즙루，술후출혈，담관손상，등병발증。결론선택합괄적담낭질병환자，경제단공복강경담낭절제술（TUSPLC）안전유효，차경구미창성，미관효과경가，시현계단최구가행무반흔기술。
Objective To explore the feasibility and clinical value of transumbilical single-port laparoscopic cholecystectomy . Methods From Aug 2012 to Aug 2013, 18 cases transumbilical single-port laparoscopic cholecystectomy were performed in our hospital. The clinical data and surgical outcomes were retrospectively reviewed. Results Except 1 case of fat liquefaction of inci-sion , while another case of incision infection, both patients were the delayed healing after revamping.The remaining cases healed well. Incision scar concealment was not easy to find. Cosmetic effect was satisfied . No postoperative complications were observed at follow-up , such as bile leakage, postoperative hemorrhage and bile duct injury. 18 patients were all safety discharged from hospital . Conclusions Choseing the right patients with gallbladder diseases, the navel (TUSPLC) of single-arch laparoscopic cholecystectomy was safe and effective. It was more minimally invasive and aesthetic effect. It was the most feasible without scar technology at the moment.