[1]李勇男 吴硕东* 陈永生 韩金岩 于晓鹏 吕超.经脐单一部位腹腔镜胆囊切除术中扶镜助手与术者的配合[J].中国微创外科杂志,2015,15(9):849-851.
　yLi Yongnan,Wu Shuodong,Chen Yongsheng,et al.Cooperation Between Operator and Assistant in Transumbilical Laparoscopic Singlesite Cholecystectom[J].Chinese Journal of Minimally Invasive Surgery,2015,15(9):849-851.
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经脐单一部位腹腔镜胆囊切除术中扶镜助手与术者的配合()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年9期
页码:
849-851
栏目:
经验交流
出版日期:
2015-09-20

文章信息/Info

Title:
Cooperation Between Operator and Assistant in Transumbilical Laparoscopic Singlesite Cholecystectom
作者:
李勇男 吴硕东* 陈永生 韩金岩 于晓鹏 吕超
（中国医科大学附属盛京医院普通外科，沈阳110004）
Author(s):
yLi Yongnan;  Wu Shuodong;  Chen Yongsheng;  et al.
Shengjing Hospital of China Medical University, Shenyang 110004, China
关键词:
腹腔镜胆囊切除术; 单一部位腹腔镜手术
Keywords:
Laparoscopic cholecystectomy; Laparoscopic singlesite surgery
分类号:
R657.4
文献标志码:
B
摘要:
目的总结经脐单一部位腹腔镜胆囊切除术中扶镜助手与术者配合的技巧。方法收集2010年3月~2012年9月于我病房行经脐单一部位腹腔镜胆囊切除术92例资料。所有手术由同一术者及扶镜助手完成。结果手术均获成功，无中转多孔或开腹手术，手术时间（53.9±15.5）min，无并发症发生。结论操作者不仅要遵循进退有序的原则，同时还要注意摄像导线手柄、光源电缆及气腹导管之间的相互纠缠。在显露术野的时候要充分利用好每一个空间，灵活处理镜头与两把操作器械之间的关系，将镜头置于两把操作器械之间或一侧，以便获得更佳的视野。
Abstract:
ObjectiveTo summarize cooperation skills between operator and assistant in transumbilical laparoscopic singlesite cholecystectomy. MethodsClinical data of 92 patients who underwent transumbilical laparoscopic singleport cholecystectomy in our department were selected. All the surgeries were completed successfully by the same operator and assistant.ResultsNo conversion to open surgery or multipleport laparoscopic cholecystectomy was required. The mean time of operation was (53.9±15.5) min, and there was no surgical complications. ConclusionThe operator and assistant should follow the principle of “move only two” and take full advantages of camera and operating apparatus to obtain the best exposure.

参考文献/References:

[1]Suuronen S,Niskanen L,Paajanen P,et al.Declining cholecystectomy rate during the era of statin use in Finland:a populationbased cohort study between 1995 and 2009.Scand J Surg,2013,102(3):158-163.
[2]陆深泉,冯春善,黄英武,等.急性胆囊炎腹腔镜胆囊切除术与开腹手术的对比研究.中国微创外科杂志,2014,14（6）：516-518.
[3]麻忠武,陈锋,徐迈宇,等.经脐单孔与三孔法腹腔镜胆囊、阑尾联合切除术的对比研究.中国微创外科杂志,2014,14（10）：900-902,916.
[4]Daly SC,Hooper EA,Rinewalt D,et al.Resident training in singleincision compared with traditional cholecystectomy.JSLS,2013,17(3):361-364.
[5]Sasaki K,Watanabe G,Matsuda M,et al.Singleincision laparoscopic cholecystectomy: comparison analysis of feasibility and safety.Surg Laparosc Endosc Percutan Tech,2012,22:108-113.
[6]Bucher P,Pugin F,Buchs NC,et al.Randomized clinical trial of laparoendoscopic singlesite versus conventional laparoscopic cholecystectomy.Br J Surg,2011,98:1695-1702.
[7]李敏,吴硕东,田雨,等.腹腔镜与开腹阑尾切除术的临床比较.中国现代普通外科进展，2013,16（2）：131-133,137.

备注/Memo

备注/Memo:
*通讯作者，Email：wushuodong@aliyun.com
更新日期/Last Update: 2016-01-04