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1、經(jīng)臍入路單?孔腹腔鏡腹囊切除術20例臨床分析作者：陳德興，董加純，劉奇，曹春和,朱安東單位：吉林省前衛(wèi)醫(yī)院普通外科，吉林長春130012【摘要】目的:探討經(jīng)臍單孔腹腔鏡膽囊切除術的可行性。方法:20例膽囊疾病患者(14例結石，6例息肉,)行經(jīng)臍單孔腹腔鏡膽囊切除術。均采用開放法在臍部做一2.0cm弧形切II,建立腹腔鏡操作通道并維持氣腹完成服囊切除。結果:20例手術均獲成功。第I例手術時間為95min,后續(xù)手術時間逐漸縮短,后3例平均40mino均未放置引流管，無出血、感染及膽漏等并發(fā)癥發(fā)生，術后平均4
2、d出院，術后2周復查，臍部無明顯手術瘢痕。結論:經(jīng)臍單孔腹腔鏡膽囊切除術是安全對行的，雖然操作難度較簾規(guī)腹腔鏡膽囊切除術大,但通過熟練的操做可明顯縮短手術時間,較傳統(tǒng)LC更加微創(chuàng),極具推廣價值，有望成為LC的新術式?！娟P鍵詞】膽囊切除術；腹腔鏡;單切口;臍Clinicalanalysisof20casesunderwentlaparoscopiccholecystectomythroughumbilicalsingle-portapproachCHENDe-xing,DONGJia-chun,LIUQi
3、,etal(DepartmentofGenendSurgery,Avant-gardeHospitalofJilinProvince,Changchun130012,China)Abstract:ObjectiveToevaluatethefeasibilityoflaparoscopiccholecystectomythroughumbilicalsingle-port.MethodTheclinicaldataof20patientswithgallbladderdiseasesundergoing
4、transumbilicalsingle-portaccesscholecystectomy(SPACE)wasanalyzed.Oneumbilical2.0cmcurvedincisionwasused.Theestablishmentoflaparoscopicoperationandmaintenanceofpneumoperitoneumwascompletedthroughtheopenmethod.ResultsAIItheoperationsweresuccessfullyperfonn
5、ed.Theoperationtimeofthefirstcasewas95min.Thefollow-upoperations′timegraduallyshortenedandthelast3casesspent40min.Nodrainagetubewasplaced.Postoperativebleedingandbiliaryleakagedidn′toccur.Thepatientsweredischargedafteraverage4days.Therewasnov
6、isiblescarontheabdominalwall2weeksafteroperation.ConclusionTransumbilicalsingle-portlaparoscopiccholecystectomyisasafeandfeasibleoperation.Althoughtheoperationismoredifficultthantheconventionallaparoscopiccholecystectomy,wecansignificantlyshortentheopera
7、tiontimethroughskilledmanipulation.lthassmallertraumathantraditionaloperationandisworthspreadingandisexpectedtobecomeanewsurgicedprocedure.KeyWords:Cholecystectomy；Laparoscopic；Singleincision；Umbilicus腹腔鏡膽發(fā)切除術因其術后疼痛輕，美容效杲好，住院吋間短，患者創(chuàng)傷小而在臨床獲得了廣泛應用。追求微創(chuàng)無極限的
8、微創(chuàng)外科醫(yī)師們致力于進一步減小創(chuàng)傷,収得更好的術后恢復和美容效果。經(jīng)臍單孔腹腔鏡技術(singleportaccesscholecystectomy,SPACE)是H前國內(nèi)臨床剛剛開始開展的一種微創(chuàng)手術，其手術切II位于臍緣，因臍緣皮肽皺褶可以遮蓋切II,可達到令人滿意的美容效果［1］。1臨床資料1」一般資料：我院于2009年9月?10月在臨床上成功完成了真止意義上的經(jīng)臍單孔腹腔鏡膽囊切除術20例。結合病史、體檢及輔助檢杳,入院診斷為&ld
