Ramachandran C S, Arora V
Department of Surgery and Laparoscopic Surgery, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India.
J Laparoendosc Adv Surg Tech A. 1998 Oct;8(5):303-8. doi: 10.1089/lap.1998.8.303.
Laparoscopic cholecystectomy is the gold standard in gallbladder surgery all over the world today. The operation is routinely performed using four or three ports of entry into the abdomen. We have now modified this procedure and introduced a new innovative two-port method of gallbladder removal. Between September 1997 and November 1997, 50 consecutive patients (41 females and 9 males; mean age 41 years) with calculus cholecystitis underwent our new two-port procedure. In this operation, only the supraumbilical port (10 mm/5 mm) and the epigastric port (10 mm) were used for access. The gallbladder was manipulated through three strategically placed traction sutures, passed through the fundus, the body, and the neck area of the gallbladder, respectively. The operating time required was 35 to 125 minutes, with an average time of 56 minutes. None of the patients required conversion to the four-port technique. All patients were on liquids after 6 hours. The average hospital stay was 1.31 days. Postoperative pain was significantly reduced, and the procedure was cosmetically more acceptable to the patient.
腹腔镜胆囊切除术是当今世界胆囊手术的金标准。该手术通常通过在腹部做四个或三个切口来进行。我们现在改进了这一手术方法，引入了一种全新的创新型双切口胆囊切除方法。在1997年9月至1997年11月期间，50例连续性结石性胆囊炎患者（41例女性，9例男性；平均年龄41岁）接受了我们新的双切口手术。在这次手术中，仅使用脐上切口（10毫米/5毫米）和上腹部切口（10毫米）作为进入通道。通过分别穿过胆囊底部、体部和颈部区域的三根精心放置的牵引缝线来操作胆囊。所需的手术时间为35至125分钟，平均时间为56分钟。没有患者需要转为四切口技术。所有患者术后6小时后即可进食流食。平均住院时间为1.31天。术后疼痛明显减轻，而且该手术在外观上更易被患者接受。
