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单孔腹腔镜胆囊切除术:不仅仅是挑战?

Single-incision laparoscopic cholecystectomy: is it more than a challenge?

机构信息

Department of General Surgery, Ege University Hospital, 3rd Floor, Izmir, Turkey.

出版信息

Surg Endosc. 2010 Jan;24(1):68-71. doi: 10.1007/s00464-009-0543-y. Epub 2009 Jun 17.

Abstract

BACKGROUND

Single-incision laparoscopic surgery (SILS) is a promising technique with regard to reducing postoperative pain, decreasing complications, and improving cosmesis.

METHODS

Between September 2008 and April 2009, 20 patients underwent cholecystectomy via SILS. The umblicus was the access point of entry to the abdomen for all the patients.

RESULTS

Of the 20 cholecystectomies, 19 were performed with SILS. Failure of trocar insertion was the reason for conversion with the first patient. No complications or mortalities were associated with the technique. The mean operating time was 94 min.

CONCLUSION

The use of SILS for cholecystectomy is safe and feasible with reasonable operation times.

摘要

背景

单孔腹腔镜手术(SILS)在减轻术后疼痛、减少并发症和改善美容效果方面具有广阔的应用前景。

方法

2008 年 9 月至 2009 年 4 月,20 例患者接受了单孔腹腔镜胆囊切除术。所有患者均采用脐部作为腹部进入的入口点。

结果

20 例胆囊切除术中,19 例成功实施了单孔腹腔镜手术。首例患者因套管插入失败而转为多孔腹腔镜手术。该技术无相关并发症或死亡病例。平均手术时间为 94 分钟。

结论

单孔腹腔镜胆囊切除术安全可行,手术时间合理。

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