• 1.中國醫(yī)科大學附屬第四醫(yī)院肝膽外科(遼寧沈陽 110032);;
  • 2.中國醫(yī)科大學附屬盛京醫(yī)院第一微創(chuàng)外科、膽道血管外科(遼寧沈陽 110004);

目的  總結(jié)經(jīng)臍單切口腹腔鏡闌尾切除術(shù)的技術(shù)要點。
方法  回顧性分析2012年1月至12月期間中國醫(yī)科大學附屬第四醫(yī)院收治并行經(jīng)臍單切口腹腔鏡闌尾切除術(shù)的55例闌尾炎患者的臨床資料。
結(jié)果  54例患者手術(shù)均獲成功,1例患者因腹膜后闌尾而中轉(zhuǎn)為3孔法。手術(shù)時間為(40.6±12.3) min (35~90min),住院時間為(4.5±1.3) d (3~6d),住院費用為(1.2±0.3)萬元(0.8~1.5萬元),術(shù)后均無并發(fā)癥發(fā)生。術(shù)后49例患者獲訪,隨訪時間為1~6個月,平均4.8個月。術(shù)后患者均恢復良好,臍部瘢痕不明顯,美容效果較滿意。
結(jié)論  采用通用器械行經(jīng)臍單切口腹腔鏡闌尾切除術(shù)安全、可行,美容效果較佳。

引用本文: 姜洪磊,馬冬巖,許東,于浩,林國福,吳碩東,金俊哲. 應(yīng)用通用腹腔鏡器械行經(jīng)臍單切口腹腔鏡闌尾切除術(shù)的臨床體會. 中國普外基礎(chǔ)與臨床雜志, 2013, 20(6): 671-673. doi: 復制

版權(quán)信息: ?四川大學華西醫(yī)院華西期刊社《中國普外基礎(chǔ)與臨床雜志》版權(quán)所有,未經(jīng)授權(quán)不得轉(zhuǎn)載、改編

1. 吳碩東. 單孔腹腔鏡操作技術(shù)[M]. 北京:人民衛(wèi)生出版社, 2010:72-74.
2. Kalloo AN, Singh VK, Jaqannath 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.
3. Marescaux J, Dallemagne B, Perretta S, et al. Surgery without scars:report of transluminal cholecystectomy in a human being[J]. Arch Surg, 2007, 142(9):823-826.
4. 鄭民華. NOTES與單孔腹腔鏡技術(shù)的發(fā)展現(xiàn)狀與展望[J]. 中國微創(chuàng)外科雜志, 2010, 10(1):18-20.
5. 徐大華. 單孔腹腔鏡手術(shù)的技術(shù)瓶頸分析[J]. 中國微創(chuàng)外科雜志, 2010, 10(1):21-22, 32.
6. Kala Z, Hanke I, Neumann C. A modified technic in laparoscopy-assisted appendectomy—a transumbilical approach through a single port[J]. Rozhl Chir, 1996, 75(1):15-18.
7. Pelosi MA, Pelosi MA 3rd. Laparoscopic appendectomy using a single umbilical puncture (mini laparoscopy)[J]. J Reprod Med, 1992, 37(7):588-594.
8. 杜航向, 吳禎乾, 閻鈞, 等. 應(yīng)用傳統(tǒng)器械行改良單孔腹腔鏡闌尾切除術(shù)體會[J]. 中華腔鏡外科雜志:電子版, 2011, 4(6):450-452.
9. 劉磊, 封志強. 經(jīng)臍單孔腹腔鏡闌尾切除術(shù)在小兒外科的應(yīng)用[J]. 腹腔鏡外科雜志, 2010, 15(1):18-19.
10. 薛菊存, 楊寓財. 經(jīng)臍單孔腹腔鏡闌尾切除術(shù)的手術(shù)方法及技巧改進[J]. 腹腔鏡外科雜志, 2012, 17(1):25-27.
11. Ponsky TA. Single port laparoscopic cholecystectomy in adults and children:tools and techniques[J]. J Am Coll Surg, 2009, 209(5):e1-e6.
12. Saber AA, Elgamal MH, El-Ghazaly TH, et al. Simple techniquefor single incision transumbilical laparoscopic appendectomy[J]. Int J Surg, 2010, 8(2):128-130.
13. Chouillard E, Dache A, Torcivia A, et al. Single-incision laparoscopic appendectomy for acute appendicitis:a preliminary experience[J]. Surg Endosc, 2010, 24(8):1861-1865.
14. Oltmann SC, Garcia NM, Ventura B, et al. Single-incision laparoscopic surgery:feasibility for pediatric appendectomies[J]. J Pediatr Surg, 2010, 45(6):1208-1212.
15. 李洪樹, 陳玉濤, 唐光華, 等. 腹腔鏡闌尾切除術(shù)應(yīng)注意的幾個問題(附132例報告)[J]. 中國普外基礎(chǔ)與臨床雜志, 2008, 15(5):367-368.
  1. 1. 吳碩東. 單孔腹腔鏡操作技術(shù)[M]. 北京:人民衛(wèi)生出版社, 2010:72-74.
  2. 2. Kalloo AN, Singh VK, Jaqannath 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.
  3. 3. Marescaux J, Dallemagne B, Perretta S, et al. Surgery without scars:report of transluminal cholecystectomy in a human being[J]. Arch Surg, 2007, 142(9):823-826.
  4. 4. 鄭民華. NOTES與單孔腹腔鏡技術(shù)的發(fā)展現(xiàn)狀與展望[J]. 中國微創(chuàng)外科雜志, 2010, 10(1):18-20.
  5. 5. 徐大華. 單孔腹腔鏡手術(shù)的技術(shù)瓶頸分析[J]. 中國微創(chuàng)外科雜志, 2010, 10(1):21-22, 32.
  6. 6. Kala Z, Hanke I, Neumann C. A modified technic in laparoscopy-assisted appendectomy—a transumbilical approach through a single port[J]. Rozhl Chir, 1996, 75(1):15-18.
  7. 7. Pelosi MA, Pelosi MA 3rd. Laparoscopic appendectomy using a single umbilical puncture (mini laparoscopy)[J]. J Reprod Med, 1992, 37(7):588-594.
  8. 8. 杜航向, 吳禎乾, 閻鈞, 等. 應(yīng)用傳統(tǒng)器械行改良單孔腹腔鏡闌尾切除術(shù)體會[J]. 中華腔鏡外科雜志:電子版, 2011, 4(6):450-452.
  9. 9. 劉磊, 封志強. 經(jīng)臍單孔腹腔鏡闌尾切除術(shù)在小兒外科的應(yīng)用[J]. 腹腔鏡外科雜志, 2010, 15(1):18-19.
  10. 10. 薛菊存, 楊寓財. 經(jīng)臍單孔腹腔鏡闌尾切除術(shù)的手術(shù)方法及技巧改進[J]. 腹腔鏡外科雜志, 2012, 17(1):25-27.
  11. 11. Ponsky TA. Single port laparoscopic cholecystectomy in adults and children:tools and techniques[J]. J Am Coll Surg, 2009, 209(5):e1-e6.
  12. 12. Saber AA, Elgamal MH, El-Ghazaly TH, et al. Simple techniquefor single incision transumbilical laparoscopic appendectomy[J]. Int J Surg, 2010, 8(2):128-130.
  13. 13. Chouillard E, Dache A, Torcivia A, et al. Single-incision laparoscopic appendectomy for acute appendicitis:a preliminary experience[J]. Surg Endosc, 2010, 24(8):1861-1865.
  14. 14. Oltmann SC, Garcia NM, Ventura B, et al. Single-incision laparoscopic surgery:feasibility for pediatric appendectomies[J]. J Pediatr Surg, 2010, 45(6):1208-1212.
  15. 15. 李洪樹, 陳玉濤, 唐光華, 等. 腹腔鏡闌尾切除術(shù)應(yīng)注意的幾個問題(附132例報告)[J]. 中國普外基礎(chǔ)與臨床雜志, 2008, 15(5):367-368.
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