經臍單孔腹腔鏡膽囊切除術臨床分析_《華西醫學》

作者：

趙少勇 , 蔣曉忠 , 朱勇 , 王昌松 , 黃斌 , 周文浩 , 呂濤 , 陶友江

宜賓市第二人民醫院肝膽胰外科（四川宜賓，644000）;

關鍵詞：

經臍手術單孔膽囊切除術

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【摘要】　目的　探討經臍單孔腹腔鏡膽囊切除術的臨床可行性及其優缺點。　方法　回顧分析2010年7-9月行經臍單孔腹腔鏡膽囊切除術34例患者臨床資料。　結果　患者均順利完成單孔腹腔鏡膽囊切除術，手術平均時間為65 min，術后平均住院時間為3 d，術后未發生出血、感染、膽瘺等并發癥。　結論　單孔腹腔鏡膽囊切除術是安全可行的，術后腹部無明顯瘢痕，美容效果明顯。
【Abstract】　Objective　 To evaluate the feasibility and value of the trans-umbilical single-port laparoscopic cholecystectomy.　Methods　 The clinical data of 34 patients who underwent trans-umbilical single-port laparoscopic cholecystectomy from July to September 2010 were retrospectively analyzed.　Results　 The operations of 34 patients were successfully performed. The mean operative duration was 65 minutes, and the mean duration in hospital after the operation was 3 days. No infection, postoperative bleeding, and biliary leakage occurred postoperatively.　Conclusion　 Trans-umbilical single-port laparoscopic cholecystectomy is safe and feasible with good cosmetic effect.

引用本文： 趙少勇,蔣曉忠,朱勇,王昌松,黃斌,周文浩,呂濤,陶友江. 經臍單孔腹腔鏡膽囊切除術臨床分析. 華西醫學, 2010, 25(12): 2189-2190. doi: 復制

1.	Langwiler TE, Nimmesgern T. Single-port access in laparoseopic cholecystectomy[J]. Surg Endosc, 2009, 23(5): 1138.
2.	Romanelli JR, Earle DB. Single-port laparoscopic surgery: an overiew[J]. Surg Endosc, 2009, 23(7): 1419-1427.
3.	Kalloo AN, Singh VK, Jagannath SB, et al. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity[J]. Gastrointest Endosc, 2004, 60(1): 114-117.
4.	Zornig C, Emmermann A, Von Waldenfels HA, et al. Laparoscopic cholecystectomy without visible scar: combined transvaginal and trasnumbilical approach[J]. Endoscopy, 2007, 9(10): 913-915.
5.	Zorron R, Filqueiras M, Maggioni LC, et al. Transvaginal cholecystectomy: report of the first case[J]. Surg Innov, 2007, 14(4): 279-283.
6.	Navarra G, Pozza E, Occhionorelli S, et al. One-wound laparoseopic cholecystectomy[J]. Br J Surg, 1997, 84(5): 695.
7.	Piskun G, Rajpal S. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus[J]. J Laparoendosc Adv Surg Tech A, 1999, 9(4): 361-364.
8.	Canes D, Desai MM, Aron M, et al. Transumbilical single-port surgery: Evolution and current status[J]. Eur Urol, 2008, 54(5): 1020-1029.
9.	Rané A, Rao P, Rao P. Single-port-access nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (R-port)[J]. Urology, 2008, 72(2): 206-263.
10.	Zhu JF. Scarless endoscopic surgery: NOTES or TUES[J]. Surg Endosc, 2007, 21(10): 1898-1899.
11.	趙強, 裴根倉, 李鈺, 等. 經臍單孔腹腔鏡膽囊切除術的應用[J]. 腹腔鏡外科雜志, 2009, 14(8): 628-629.
12.	張震波, 蔡立東, 楊立安, 等. 經臍入路腹壁無瘢痕腹腔鏡膽囊切除術[J]. 腹腔鏡外科雜志, 2009, 14(8): 626-627.
13.	蔡軍, 張忠濤, 于宏志, 等. 經臍單孔腹腔鏡回盲部切除2例[J]. 中國實用外科雜志, 2010, 30(1): 69-70.

1. 　Langwiler TE, Nimmesgern T. Single-port access in laparoseopic cholecystectomy[J]. Surg Endosc, 2009, 23(5): 1138.
2. 　Romanelli JR, Earle DB. Single-port laparoscopic surgery: an overiew[J]. Surg Endosc, 2009, 23(7): 1419-1427.
3. 　Kalloo AN, Singh VK, Jagannath SB, et al. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity[J]. Gastrointest Endosc, 2004, 60(1): 114-117.
4. 　Zornig C, Emmermann A, Von Waldenfels HA, et al. Laparoscopic cholecystectomy without visible scar: combined transvaginal and trasnumbilical approach[J]. Endoscopy, 2007, 9(10): 913-915.
5. 　Zorron R, Filqueiras M, Maggioni LC, et al. Transvaginal cholecystectomy: report of the first case[J]. Surg Innov, 2007, 14(4): 279-283.
6. 　Navarra G, Pozza E, Occhionorelli S, et al. One-wound laparoseopic cholecystectomy[J]. Br J Surg, 1997, 84(5): 695.
7. 　Piskun G, Rajpal S. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus[J]. J Laparoendosc Adv Surg Tech A, 1999, 9(4): 361-364.
8. 　Canes D, Desai MM, Aron M, et al. Transumbilical single-port surgery: Evolution and current status[J]. Eur Urol, 2008, 54(5): 1020-1029.
9. 　Rané A, Rao P, Rao P. Single-port-access nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (R-port)[J]. Urology, 2008, 72(2): 206-263.
10. 　Zhu JF. Scarless endoscopic surgery: NOTES or TUES[J]. Surg Endosc, 2007, 21(10): 1898-1899.
11. 　趙強, 裴根倉, 李鈺, 等. 經臍單孔腹腔鏡膽囊切除術的應用[J]. 腹腔鏡外科雜志, 2009, 14(8): 628-629.
12. 　張震波, 蔡立東, 楊立安, 等. 經臍入路腹壁無瘢痕腹腔鏡膽囊切除術[J]. 腹腔鏡外科雜志, 2009, 14(8): 626-627.
13. 　蔡軍, 張忠濤, 于宏志, 等. 經臍單孔腹腔鏡回盲部切除2例[J]. 中國實用外科雜志, 2010, 30(1): 69-70.

《華西醫學》

經臍單孔腹腔鏡膽囊切除術臨床分析

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《華西醫學》

經臍單孔腹腔鏡膽囊切除術臨床分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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摘要全文圖表視頻參考文獻施引文獻補充材料