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1、经脐入路单•孔腹腔镜腹囊切除术20例临床分析作者：陈德兴，董加纯，刘奇，曹春和,朱安东单位：吉林省前卫医院普通外科，吉林长春130012【摘要】目的:探讨经脐单孔腹腔镜胆囊切除术的可行性。方法:20例胆囊疾病患者(14例结石，6例息肉,)行经脐单孔腹腔镜胆囊切除术。均采用开放法在脐部做一2.0cm弧形切II,建立腹腔镜操作通道并维持气腹完成服囊切除。结果:20例手术均获成功。第I例手术时间为95min,后续手术时间逐渐缩短,后3例平均40mino均未放置引流管，无出血、感染及胆漏等并发症发生，术后平均4
2、d出院，术后2周复查，脐部无明显手术瘢痕。结论:经脐单孔腹腔镜胆囊切除术是安全对行的，虽然操作难度较帘规腹腔镜胆囊切除术大,但通过熟练的操做可明显缩短手术时间,较传统LC更加微创,极具推广价值，有望成为LC的新术式。【关键词】胆囊切除术；腹腔镜;单切口;脐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腹腔镜胆發切除术因其术后疼痛轻，美容效杲好，住院吋间短，患者创伤小而在临床获得了广泛应用。追求微创无极限的
8、微创外科医师们致力于进一步减小创伤,収得更好的术后恢复和美容效果。经脐单孔腹腔镜技术(singleportaccesscholecystectomy,SPACE)是H前国内临床刚刚开始开展的一种微创手术，其手术切II位于脐缘，因脐缘皮肽皱褶可以遮盖切II,可达到令人满意的美容效果［1］。1临床资料1」一般资料：我院于2009年9月〜10月在临床上成功完成了真止意义上的经脐单孔腹腔镜胆囊切除术20例。结合病史、体检及辅助检杳,入院诊断为&ld
