2011年4 ～11月行52例经脐单孔腹腔镜胆囊切除术,采用5 mm腹腔镜,单孔多通道套管,塑料trocar,常规腹腔镜器械(分离钳、电凝钩、电凝棒等).trocar和器械错落放置,不要在一个水平面.可吸收夹夹闭胆囊管,超声刀凝固离断胆囊动脉.手术时间18 ～ 40 min,平均27 min,术中出血＜5 ml.2例放置腹腔引流,48 h后拔除.无胆漏、出血、腹腔积液等并发症.%From April to November 2011, we performed transumbilical single-port laparoscopic cholecystectomy on totally 52 patients. A 5-mm laparoscope, single-port multi-channel cannula, plastic trocar, and general laparoscopic instruments including separating pliers, electrocautery, and electrocoagulation rod, were employed. The trocar and instruments were scatteredly placed at different horizontal planes. After the cystic duct was closed with absorbable clips, we cut the cystic artery with ultrasonic scalpel. The whole procedure was finished within a mean of 27 minutes (ranged from 18 to 40 minutes) . The intraoperative blood loss was less than 5 ml in all the patients. Abdominal drainage was carried out in two of the patients for 48 hours. No complications, including bile leakage, hemorrhage, or intra-abdominal effusion occurred after the surgery.
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