CAJ | 학술논문

单孔腹腔镜手术(LESS)理念的提出符合微创外科时代的发展趋势.该技术能否普及应用,关键是解决气腹状态下狭窄的单孔通道问题.2012年2月至9月首都医科大学宣武医院采用腹壁皮下悬吊无气腹腹腔镜技术,为34例胆囊疾病患者实施无气腹单孔腹腔镜胆囊切除术.34例患者手术均获成功,无中转常规腹腔镜手术及开腹手术.手术时间为45～ 135 min,平均手术时间为70 min.术中出血量为5～40 ml,术中平均出血量为18 ml.术后住院时间为3～4d,术后平均住院时间为3.4d.术后3周复查,脐部切口瘢痕隐蔽,腹壁美观.利用腹壁皮下悬吊无气腹腹腔镜技术的优点和LESS的操作特点,降低LESS的技术难度,有利于此类手术的推广和普及.
단공복강경수술(LESS)이념적제출부합미창외과시대적발전추세.해기술능부보급응용,관건시해결기복상태하협착적단공통도문제.2012년2월지9월수도의과대학선무의원채용복벽피하현조무기복복강경기술,위34례담낭질병환자실시무기복단공복강경담낭절제술.34례환자수술균획성공,무중전상규복강경수술급개복수술.수술시간위45～ 135 min,평균수술시간위70 min.술중출혈량위5～40 ml,술중평균출혈량위18 ml.술후주원시간위3～4d,술후평균주원시간위3.4d.술후3주복사,제부절구반흔은폐,복벽미관.이용복벽피하현조무기복복강경기술적우점화LESS적조작특점,강저LESS적기술난도,유리우차류수술적추엄화보급.
Laparo-endoscopic single site (LESS) surgery is in line with the development trend of minimally invasive surgery.Resolving the problems caused by the tiny single trocar is very important for the popularizing of LESS surgery.From February to September in 2012,34 patients with cholecystolithiasis or polypoid lesions of the gallbladder received gasless singleincision laparoscopic cholecystectomy at the Xuanwu Hospital.All the operations were successfully done,with no conversion to conventional laparoscopic surgery or open surgery.The mean operation time,intraoperative blood loss and duration of postoperative hospital stay were 70 minutes (range,45-135 minutes),18 ml (range,5-40 ml) and 3.4 days (range,3-4 days).There was no complication within the follow-up of 3 weeks,and all patients recovered well with satisfied cosmetic effect.Combination of gasless single-incision laparoscopic techniques could decrease the difficulty of LESS surgery and help to popularize LESS surgery.