[1]朱江帆,马颖璋,于金玲,等.经脐入路腹腔镜胆囊切除术的实验研究[J].中国微创外科杂志,2008,08(8):742-744.
　Zhu Jiangfan,Ma Yingzhang,Yu Jinling,et al.Transumbilical Endoscopic Cholecystectomy on a Porcine Model[J].Chinese Journal of Minimally Invasive Surgery,2008,08(8):742-744.
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经脐入路腹腔镜胆囊切除术的实验研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年8期
页码:
742-744
栏目:
出版日期:
2008-11-02

文章信息/Info

Title:
Transumbilical Endoscopic Cholecystectomy on a Porcine Model
作者:
朱江帆; 马颖璋; 于金玲; 胡海
同济大学附属东方医院普外科，上海200120
Author(s):
Zhu Jiangfan;  Ma Yingzhang;  Yu Jinling;  et al.
Department of General Surgery, East Hospital of Tongji University, Shanghai 200120, China
关键词:
经脐入路; 腹腔镜; 胆囊切除; 动物
Keywords:
TUES; Laparoscopy; Cholecystectomy; Animal
分类号:
R-332
文献标志码:
A
摘要:
目的探讨用三通道套管技术进行经脐入路腹腔镜胆囊切除术的可行性。方法8只家猪用三通道套管技术行经脐入路腹腔镜胆囊切除术。脐部置入三通道套管，经操作通道置入5 mm腹腔镜和两只软性器械进行操作。右肋下置入微型抓钳抓持胆囊底，协助显露。用软性电凝钩分离胆囊管和胆囊动脉，内镜止血夹夹闭后切断。切除之标本自脐部切口取出。结果8只动物均顺利完成手术。无术中出血及术后并发症发生。手术时间1.5~2.5 h，并随技术熟练而缩短。术后活检见胆囊管夹闭牢靠，未见胆漏和脓肿形成。结论经脐入路腹腔镜胆囊切除技术上是可行的，可以达到更加微创、以及腹壁无瘢痕的效果。
Abstract:
ObjectiveThe aim of this study is to verify the feasibility of transumbilical endoscopic cholecystectomy by using the trichannel trocar technique.MethodsEight domestic pigs were submitted to transumbilical endoscopic cholecystectomy using the trichannel trocar technique. After establishment of pneumoperitoneum, a trichannel trocar was placed through an infra-umbilical incision. A fine grasper of 2 mm in diameter was inserted through a small skin incision on the right upper abdomen into abdominal cavity to grasp the fundus of the gallbladder. Then the cystic duct was dissected with a flexible hook. Once the cystic duct and artery were free, they were clipped by a clip fixing device, and the gallbladder was separated from the liver bed using flexible hook dissection. The specimen was then extracted through the umbilical trocar.ResultsAll the gallbladders were removed successfully in the eight pigs without severe bleeding during dissection, or intraoperative and postoperative complications. The operation time was from 1.5 to 2.5 hours and decreased with experience. Postmortem examination revealed that the gallbladder fossa was clean, and the clips on the cystic duct and artery were secure. Neither bile leakage nor hemorrhage was found at the operative field.ConclusionsTransumbilical endoscopic cholecystectomy is feasible and safe without leaving obvious abdominal scars.

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更新日期/Last Update: 2013-10-23