CAJ | 학술논문

目的：研究自制器械应用于经脐单孔腹腔镜胆囊切除术临床可行性及安全性,总结手术经验。方法总结2011年1月~2014年10月对41例胆囊疾病患者实施自制器械经脐单孔腹腔镜胆囊切除术的经验,并分析手术中所遇的问题和应对措施。结果在41例患者,均顺利完成单孔手术,成功率100%。手术时间30~120 min,手术出血平均15.2 ml,患者术后6~40 h恢复排气,平均恢复排气时间25 h；住院时间4~6 d。术后平均随访3.6个月,均无粘连性肠梗阻、胆道损伤、大出血、脐疝、切口感染、胆漏、胆道狭窄等并发症出现,术后查切口愈合好,瘢痕隐蔽不易察觉。结论自制器械经脐单孔腹腔镜胆囊切除术安全可行,具有微创、美观等优点,手术操作较传统腹腔镜及专用器械的经脐单孔腹腔镜胆囊切除术的难度高,最好由经验丰富的腹腔镜医师开展。
목적：연구자제기계응용우경제단공복강경담낭절제술림상가행성급안전성,총결수술경험。방법총결2011년1월~2014년10월대41례담낭질병환자실시자제기계경제단공복강경담낭절제술적경험,병분석수술중소우적문제화응대조시。결과재41례환자,균순리완성단공수술,성공솔100%。수술시간30~120 min,수술출혈평균15.2 ml,환자술후6~40 h회복배기,평균회복배기시간25 h；주원시간4~6 d。술후평균수방3.6개월,균무점련성장경조、담도손상、대출혈、제산、절구감염、담루、담도협착등병발증출현,술후사절구유합호,반흔은폐불역찰각。결론자제기계경제단공복강경담낭절제술안전가행,구유미창、미관등우점,수술조작교전통복강경급전용기계적경제단공복강경담낭절제술적난도고,최호유경험봉부적복강경의사개전。
Objective Homemade instruments used in the study of single umbilical laparoscopic cholecystectomy clinical feasibility and safety, summarizes the operation experience. Methods Summary in January 2011 to 2014 to october 41 cases gal bladder disease patients by the implementation of homemade instruments umbilical single-arch laparoscopic gal bladder Resection of experience, and analysis of the operation of problems and countermeasures. Results In 41 patients, who al successful y completed a single operation, the successful rate was 100%. The operation time 30~120 min, surgery average bleeding 15.2 ml. After patient 6~40 h recovery, the average recovery of exhaust exhaust time 25 h;Time in four-6 d. postoperative fol ow-up on average 3.6 months, there are no adhesion ileus, biliary injury, the massive hemor hage, umbilical hernia, infection of incision, bile leakage, biliary complications, such as nar ow postoperative incision, scar healing check be aware of not easily concealed. Conclusion Homemade equipment is obtained by a single laparoscopic cholecystectomy is safe and feasible, minimal y invasive, aesthetic advantages, the operation than the traditional abdomen Chamber lens and the special equipment by umbilical one-by-one the dif iculty of laparoscopic cholecystectomy high, preferably by the experienced laparoscopic doctors car y out.