Igami Tsuyoshi, Usui Hiroaki, Ebata Tomoki, Yokoyama Yukihiro, Sugawara Gen, Takahashi Yu, Nagino Masato
Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Asian J Endosc Surg. 2013 Feb;6(1):52-4. doi: 10.1111/ases.12008.
Single-incision laparoscopic cholecystectomy (SILC) has been performed in patients with gallbladder stones without inflammation. Porcelain gallbladder is a rare finding of chronic cholecystitis that is characterized by extensive calcification of the gallbladder wall. Herein we describe our experience with SILC for porcelain gallbladder with a successful outcome. A 67-old-year woman was diagnosed with porcelain gallbladder. We performed SILC using a SILS Port and a 5-mm forceps through the umbilical incision. Because a small amount of the omentum around the gallbladder was left to facilitate grasping the fundus, a view of both the cystic artery and the cystic duct was easily obtained. The operative time and the intraoperative blood loss were 66 min and less than 1 mL, respectively. The patient was discharged 3 days after surgery and was satisfied with the cosmetic results. Our procedure may represent an alternative to conventional laparoscopic cholecystectomy in patients with porcelain gallbladder.
单孔腹腔镜胆囊切除术（SILC）已应用于无炎症的胆囊结石患者。瓷化胆囊是慢性胆囊炎的一种罕见表现，其特征为胆囊壁广泛钙化。在此，我们描述我们采用单孔腹腔镜胆囊切除术治疗瓷化胆囊并获得成功的经验。一名67岁女性被诊断为瓷化胆囊。我们通过脐部切口使用单孔腹腔镜手术端口（SILS Port）和5毫米镊子进行了单孔腹腔镜胆囊切除术。由于在胆囊周围保留了少量大网膜以利于抓住胆囊底部，因此很容易看到胆囊动脉和胆囊管。手术时间和术中出血量分别为66分钟和少于1毫升。患者术后3天出院，对美容效果满意。我们的手术方法可能是瓷化胆囊患者传统腹腔镜胆囊切除术的一种替代方法。
