CAJ | 학술논문

目的：探讨经脐入路腹腔镜妇科与胆囊联合手术的可行性和临床价值。方法回顾分析经脐入路腹腔镜妇科与胆囊联合手术的临床资料。结果5例患者均顺利完成手术。左侧附件脓肿者手术时间50 min ，术中出血共40 mL。右侧卵巢畸胎瘤者手术时间70 min ，术中出血50 mL ；3例子宫全切术者手术时间100～140 min ，术中出血100～200 m L。术后无呕吐、出血、胆漏、临近脏器损伤、尿潴留、切口感染等并发症的发生。胃肠功能约24 h恢复，术后48 h拔除引流管。术后疼痛轻，恢复快，腹壁无明显切口瘢痕，术后3～6 d均痊愈出院。结论经脐入路腹腔镜妇科与胆囊联合手术同时处理两种此类腹部病变，让患者避免多次手术，带来更小的创伤，降低手术风险及费用，具有较好的微创和美容效果，与现代女性患者的需求吻合，值得临床推广应用。
목적：탐토경제입로복강경부과여담낭연합수술적가행성화림상개치。방법회고분석경제입로복강경부과여담낭연합수술적림상자료。결과5례환자균순리완성수술。좌측부건농종자수술시간50 min ，술중출혈공40 mL。우측란소기태류자수술시간70 min ，술중출혈50 mL ；3례자궁전절술자수술시간100～140 min ，술중출혈100～200 m L。술후무구토、출혈、담루、림근장기손상、뇨저류、절구감염등병발증적발생。위장공능약24 h회복，술후48 h발제인류관。술후동통경，회복쾌，복벽무명현절구반흔，술후3～6 d균전유출원。결론경제입로복강경부과여담낭연합수술동시처리량충차류복부병변，양환자피면다차수술，대래경소적창상，강저수술풍험급비용，구유교호적미창화미용효과，여현대녀성환자적수구문합，치득림상추엄응용。
Objective To investigate the feasibility and clinical value of the combined surgery of transumbilical gynecological laparoscopy and gallbladder surgery .Methods To do the retrospective analysis on clinical data of the combined surgery of transumbilical gynecological laparoscopy and gallbladder surgery .Results Five patients were successfully operated .Surgery time on patient with left adnexal abscess was 50 min ,with 40 mL bleeding during sug-ery .Time on patient with right side ovarian teratoma was 70 min ,with 50 mL bleeding .Time of 3 cases of total hys-terectomy was 100-140 min ,with 100 -200 mL bleeding .There was not vomiting ,bleeding ,bile leakage ,adjacent organ damage ,urinary retention ,incision infection and other complications after operations .The gastrointestinal func-tion was recovered about 24 hours ,with drainage tubes removed in 48 h after operations .There was less postoperative pain .Patients recovered quickly with no obvious abdominal scar ,and were cured postoperative 3-6 days .Conclusion Two abdominal lesions were treated simultaneously at the same time by the combined surgery of transumbilical gy-necological laparoscopy and gallbladder surgery .It keeps patient from multiple surgeries ,with less trauma and lower risk and expense .The surgery provides better minimally invasive treatment and cosmetic result ,which fit the needs of modern women .It is worthy of clinical application .