经脐单孔腹腔镜胆囊切除术临床探讨
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摘要：目的：探讨经脐单孔腹腔镜胆囊切除术的手术经验及推广价值。方法：60例胆囊切除术，分为单孔组(n=30)和常规LC组(n=30),比较手术时间、术中出血量、术后住院时间。结果：28例成功完成经脐单孔腹腔镜胆囊切除术，2例转为三孔法完成。常规组30例均顺利完成手术.单孔组的手术时间明显长于常规组(P<001),两组的出血量和住院时间无明显差异。结论：经脐单孔腹腔镜胆囊切除术安全可行，且创伤小、美容效果好。但因器械及技术尚未成熟 ，术中若发生困难应果断改变术式。
关键词：经脐手术；单孔；腹腔镜；胆囊切除术
Umbilical single-hole laparoscopic resection of clinical inquiry
Lin Weipeng
Abstract:ObjectiveExplore the surgical experience and to promote the value of the transumbilical single-hole laparoscopic cholecystectomy. Methods:60 cases of cholecystectomy, divided into single-hole group (n=30) and conventional LC group (n=30), Comparison of operative time, blood loss, postoperative hospital stay. Results：28 cases of successful completion of transumbilical single-hole laparoscopic cholecystectomy, the two cases into three-hole method to complete. Conventional group of 30 cases of successful completion of the surgery. Single hole group the operation time was significantly longer than the conventional group (P<0.01),no significant difference between the two sets of blood loss and hospital stay. Conclusion:Umbilical single-hole laparoscopic cholecystectomy safe, feasible and minimally invasive cosmetic results. However, equipment and technology is not yet mature, intraoperative difficulties should be bold and change the surgical procedures.
Key words:transumbilical surgery; single hole; laparoscopic; cholecystectomy
【中图分类号】R657.4 【文献标识码】A 【文章编号】1672-3783(2012)06-0198-01
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