单孔腹腔镜技术在腹部外科应用的早期经验
发表时间:2014-04-08 浏览次数:886次
赵作成,邓为民.单孔腹腔镜技术在腹部外科应用的早期经验[J].吉林医学,2014,35(10):2025-2026.
单孔腹腔镜;微创手术;腹部外科
赵作成,邓为民
天津市滨海新区大港医院普外科,天津300270
2014
2025-2026.
知网,万方
目的:本研究总结单孔腹腔镜治疗腹部良性疾病的早期经验并评价其可行性。方法:由同一腹腔镜手术小组对53例腹部良性病患者实行单孔腹腔镜手术并搜集患者围手术期数据指标。结果:5例中转为传统腹腔镜手术。1例穿孔修补术患者出现了术后并发症。术后24 h VAS疼痛评分在3分以下,术后随访患者满意程度高,所有病例未在术中延长切口。结论:单孔腹腔镜治疗腹部良性疾病安全、可行,其美容效果令人满意。 To describe initial clinical experience and assess the feasibility of single-incision laparoscopic surgery(SILS)in the treatment of benign disease in abdomen.Method 53 patients with a benign abdominal disease were enrolled in this study.All casesunderwent SILS,and all operations were performed by one expert laparoscopic surgeon.Patient characteristics and perioperative data werecollected.Results In all cases,5 cases were converted to a conventional laparoscopic technique.Postoperative complication occurred in onepatient who underwent perforation repair.Pain was evaluated and was under 3 scores,according to the visual analogue scale(VAS)after 24h.Postoperative follow-up showed that the degree of satisfaction was high.In all cases,there was no need to extend the skin incision.Conclusion Single-incision laparoscopic surgery is feasible and safe for some patients with benign disease in abdomen.The cosmeticresults and the degree of satisfaction appear to be significant.