Zhang Hai-Feng, Lu Chun-Lei, Gao Ying, Chen Dong-Feng, Wang Wei-Jia
Department of Laparoscopic Surgery Center, Shandong University Affiliated Linyi People's Hospital, Linyi, China.
Minim Invasive Ther Allied Technol. 2013 Apr;22(2):84-8. doi: 10.3109/13645706.2012.704875. Epub 2012 Jul 16.
Transumbilical laparoscopic cholecystectomy has been increasingly performed in recent years, using special access devices and instruments through one incision in the umbilicus. We have modified the technique by using a two-incision triple-port access approach and conventional laparoscopic instruments. A total of 52 patients accepted the modified transumbilical laparoscopic cholecystectomy, and all the procedures were completed successfully. The operative time was 150 minutes for the first case, 100 minutes and 90 minutes for the second and third cases, and an average of 50 ± 14 minutes for the following 49 cases. All patients were discharged on post-operative day 3. No complications were observed during a follow-up of at least three months. The umbilical incisions were nearly invisible, and all patients were satisfied with the abdominal cosmetic results.In conclusion, transumbilical laparoscopic cholecystectomy using a double-incision triple-port access approach and conventional laparoscopic instruments as described in this study is safe and feasible, and it reduces the conflict of instruments without using special devices.
近年来，经脐腹腔镜胆囊切除术越来越多地被采用，通过脐部的一个切口使用特殊的进入装置和器械。我们通过采用双切口三通道进入方法和传统腹腔镜器械对该技术进行了改良。共有52例患者接受了改良经脐腹腔镜胆囊切除术，所有手术均成功完成。第一例手术时间为150分钟，第二例和第三例分别为100分钟和90分钟，随后49例的平均手术时间为50±14分钟。所有患者均在术后第3天出院。在至少三个月的随访期间未观察到并发症。脐部切口几乎不可见，所有患者对腹部美容效果均满意。总之，本研究中描述的使用双切口三通道进入方法和传统腹腔镜器械的经脐腹腔镜胆囊切除术是安全可行的，并且在不使用特殊装置的情况下减少了器械冲突。
