腹腔镜外科杂志2024,Vol.29Issue(10) :753-757.DOI:10.13499/j.cnki.fqjwkzz.2024.10.753

U形钛镍合金线辅助经脐单孔腹腔镜胆囊切除术236例疗效分析

U-shaped titanium nickel alloy wire assisted transumbilical single port laparoscopic cholecystectomy:efficacy analysis of 236 patients

陈淋 卢攀 李凯 易明超 郎成 汪鑫 张伟
腹腔镜外科杂志2024,Vol.29Issue(10) :753-757.DOI:10.13499/j.cnki.fqjwkzz.2024.10.753

U形钛镍合金线辅助经脐单孔腹腔镜胆囊切除术236例疗效分析

U-shaped titanium nickel alloy wire assisted transumbilical single port laparoscopic cholecystectomy:efficacy analysis of 236 patients

陈淋 1卢攀 2李凯 2易明超 2郎成 1汪鑫 3张伟4
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作者信息

  • 1. 西南医科大学临床医学院,四川 泸州,646000
  • 2. 简阳市人民医院肝胆外科
  • 3. 成都医学院临床医学院
  • 4. 西南医科大学临床医学院,四川 泸州,646000;简阳市人民医院肝胆外科;成都医学院临床医学院
  • 折叠

摘要

目的:分析U形钛镍合金线辅助经脐单孔腹腔镜胆囊切除术的应用效果.方法:纳入2023年6月至2023年9月采用U形钛镍合金线辅助行经脐单孔腹腔镜胆囊切除术的胆囊结石患者,统计手术时间(麻醉开始到缝合结束)、U形钛镍合金线组装时间、术中并发症、增加Trocar数量、术后住院时间、术后并发症、住院费用等指标.结果:236例患者行U形钛镍合金线辅助经脐单孔腹腔镜胆囊切除术,U形线组装时间1.5(1.2,2.0)min,手术时间50.0(42.0,60.0)min,术中出血5.0(5.0,5.0)mL,无中转开腹,2例术中额外加孔.术后住院20(17,24)h,其中24 h内出院173例(73.3%).术后并发症发生率为22.0%,术后疼痛发生率为15.7%,恶心呕吐发生率3.8%.随访最长约12个月,无切口疝、迟发型胆道狭窄发生,切口瘢痕隐匿.结论:U形钛镍合金线辅助经脐单孔腹腔镜胆囊切除术可充分暴露胆囊三角,减少筷子效应,腹壁损伤小,初步应用安全、有效.

Abstract

Objective:To analyze the application effect of U-shaped titanium nickel alloy wire assisted transumbilical single port laparoscopic cholecystectomy.Methods:From Jun.2023 to Sep.2023,patients with gallstones who underwent transumbilical single port laparoscopic cholecystectomy assisted by U-shaped titanium nickel alloy wire were included in this study.The operation time(from anesthesia start to suture end),assembly time of U-shaped titanium nickel alloy wire,intraoperative complications,increase in Trocar number,postoperative hospital stay,postoperative complications,hospitalization expenses,and other indicators were recorded.Results:A total of 236 patients underwent U-shaped titanium nickel alloy wire assisted transumbilical single port laparoscopic cholecystectomy.The assembly time of the U-shaped wire was 1.5(1.2,2.0)min,the operation time was 50.0(42.0,60.0)min,intraoperative blood loss was 5.0(5.0,5.0)mL.There was no conversion to open surgery,and only 2 cases had additional trocar added during the operation.The postoperative hospital stay was 20(17,24)h,173 patients(73.3%)were discharged within 24 h after surgery.The postoperative com-plication incidence was 22.0%,postoperative pain accounted for 15.7%and nausea and vomiting accounted for 3.8%.The longest fol-low up was 12 months,no incisional hernia or late-onset biliary stenosis occurred,the incisional scars were hidden.Conclusions:U-shaped titanium nickel alloy wire assisted transumbilical single port laparoscopic cholecystectomy can fully expose the gallbladder tri-angle,reduce chopstick effect,minimize abdominal wall damage,and is initially safe and effective.

关键词

胆囊结石病/胆囊切除术,腹腔镜/经脐/单孔/U形钛镍合金线

Key words

Cholecystolithiasis/Cholecystectomy,laparoscopic/Transumbilicus/Single port/U-shaped titanium nickel alloy wire

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出版年

2024
腹腔镜外科杂志
山东大学

腹腔镜外科杂志

CSTPCD
影响因子:0.861
ISSN:1009-6612
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