Clinical Analysis of Trans-umbilical Single-port Laparoscopic Cholecystectomy_West China Medical Journal

Authors：

ZHAO Shaoyong , JIANG Xiaozhong , ZHU Yong , WANG Changsong , HUANG Bin , ZHOU Wenhao , LUuml , Tao

Department of Hepatic-biliary-pancreatic Surgery, the Second People’s Hospital of Yibin, Yibin, Sichuan 6140000, P.R.China;

Corresponding author：

Keywords：

经脐手术; 单孔; 胆囊切除术

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【摘要】　目的　探讨经脐单孔腹腔镜胆囊切除术的临床可行性及其优缺点。　方法　回顾分析2010年7-9月行经脐单孔腹腔镜胆囊切除术34例患者临床资料。　结果　患者均顺利完成单孔腹腔镜胆囊切除术，手术平均时间为65 min，术后平均住院时间为3 d，术后未发生出血、感染、胆瘘等并发症。　结论　单孔腹腔镜胆囊切除术是安全可行的，术后腹部无明显瘢痕，美容效果明显。
【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.

Citation： ZHAO Shaoyong,JIANG Xiaozhong,ZHU Yong,WANG Changsong,HUANG Bin,ZHOU Wenhao,LUuml,Tao,TAO Youjiang. Clinical Analysis of Trans-umbilical Single-port Laparoscopic Cholecystectomy. West China Medical Journal, 2010, 25(12): 2189-2190. doi: Copy

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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. 　赵强, 裴根仓, 李钰, 等. 经脐单孔腹腔镜胆囊切除术的应用[J]. 腹腔镜外科杂志, 2009, 14(8): 628-629.
12. 　张震波, 蔡立东, 杨立安, 等. 经脐入路腹壁无瘢痕腹腔镜胆囊切除术[J]. 腹腔镜外科杂志, 2009, 14(8): 626-627.
13. 　蔡军, 张忠涛, 于宏志, 等. 经脐单孔腹腔镜回盲部切除2例[J]. 中国实用外科杂志, 2010, 30(1): 69-70.

West China Medical Journal

Clinical Analysis of Trans-umbilical Single-port Laparoscopic Cholecystectomy

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