CAJ | 학술논문

目的探讨使用常规器械经脐单孔腹腔镜手术治疗肝胆外科疾病的可行性及临床应用前景。方法分析了2010年3月至2012年9月为415例患者（其中胆囊切除术370例，肝叶切除13例，肝囊肿开窗引流7例，腹腔探查13例，脾切除4例，胆囊切除+子宫全切术1例，胆囊切除+子宫肌瘤剥除术1例，腹股沟斜疝补片修补术6例）施行常规器械经脐单孔腹腔镜手术方法及临床效果。结果除1例全子宫切除时增加1个孔外，414例均成功完成单孔手术。结论常规器械经脐单孔腹腔镜手术是治疗肝胆外科疾病的一种安全有效的方法，由于解剖位置的限制，使用常规器械实施经脐单孔腹腔镜手术可以治疗肝胆外科大部分疾病，术者需具备单孔腹腔镜及传统腹腔镜肝脏手术的操作经验，随着可转向器械的改进，此项技术有望进一步推广应用。
목적탐토사용상규기계경제단공복강경수술치료간담외과질병적가행성급림상응용전경。방법분석료2010년3월지2012년9월위415례환자（기중담낭절제술370례，간협절제13례，간낭종개창인류7례，복강탐사13례，비절제4례，담낭절제+자궁전절술1례，담낭절제+자궁기류박제술1례，복고구사산보편수보술6례）시행상규기계경제단공복강경수술방법급림상효과。결과제1례전자궁절제시증가1개공외，414례균성공완성단공수술。결론상규기계경제단공복강경수술시치료간담외과질병적일충안전유효적방법，유우해부위치적한제，사용상규기계실시경제단공복강경수술가이치료간담외과대부분질병，술자수구비단공복강경급전통복강경간장수술적조작경험，수착가전향기계적개진，차항기술유망진일보추엄응용。
Objective To explore the feasibility and clinical value of the trans-umbilical single-port laparoscopic operation with routine apparatus in treatment of hepatobiliary diseases. Methods From Mar 2010 to Sep 2012, 415 patients with hepatobiliary disease, splenic disease, abdominal cavity disease or combine hysteromyoma were performed by trans-umbilical single-port laparoscopic operation with routine apparatus. The clinical data of 415 cases were analyzed respectively.Result All patients except one patients who was added one port for hysterectomy, were performed successfully trans-umbilical single-port laparoscopic operation with routine apparatus without conversion to laparotomy or conventional laparoscopic surgery. Conclusions The trans-umbilical single-port laparoscopic operation with routine apparatus is safe and effective in treatment of hepatobiliary diseases. Limited by the anatomy position, the trans-umbilical single-port laparoscopic operation with routine apparatus can cure most hepatobiliary diseases. So the operator must have the experience both in single-port laparoscopic operation and traditional laparoscopic operation. With the improvement of rotatable equipment, the practical procedure is expected to be generalized in the future.