Experience of Single Umbilical Port Laparoscopic Cholecystectomy Applying in 46 Cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIN Longying , LI Jie , WANG Jiaxing , HE Yong , MA Liang , PU Qi , HE Jian , WU Tianfang , YANG Zhi

Department of General Surgery, General Hospital of Panzhihua Iron &;
Steel Ltd. Co., Panzhihua 617023, Sichuan Province, ChinaCorresponding Author: LIN Long-ying， E-mail: linlongying_pw@yahoo.com.cn;

Corresponding author：

Keywords：

Laparoscopic cholecystectomy; Single port access; Gallbladder disease; Surgery

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To investigate the method of single umbilical port laparoscopic cholecystectomy and its feasibility.
Methods 　The clinical data of 46 patients receiving single port umbilical laparoscopic cholecystectomy in this hospital from December 2008 to February 2009 were analyzed retrospectively.
Results 　Fourty-six cases were operated successfully with ordinary laparoscopic instruments by single umbilical port laparoscopic cholecystectomy, all without drainage placed. Operative time was from 40 to 130 min, average 52.3 min; bleeding was from 10 to 150 ml, average 40.6 ml. No complications, such as biliary leakage, hemorrhage, umbilical hernia and infection of incisional wound happened. Postoperative abdominal wall scar was not obvious, 1-4 d hospitalization, from 2 weeks to 3 months following-up without disconnecting of incision.
Conclusions 　The single umbilical port laparoscopic cholecystectomy is safe and feasible, with little abdominal wall scar, but difficult to perform, so it can be applied in hospitals with related conditions as improvements of laparoscopic cholecystectomy.

Citation： LIN Longying,LI Jie,WANG Jiaxing,HE Yong,MA Liang,PU Qi,HE Jian,WU Tianfang,YANG Zhi. Experience of Single Umbilical Port Laparoscopic Cholecystectomy Applying in 46 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(10): 803-805. doi: Copy

1.	蔡秀军，　梁岳龙.　经自然孔道的内镜外科：　创造外科新时代？ [Ｊ]. 中国实用外科杂志,　2009；　29（1）:　38-39.
2.	周晓娜,　张忠涛.　经脐单孔腹腔镜外科技术应用现状和展望 [Ｊ]. 中国实用外科杂志, 2009; 29(1): 42-13.
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5.	Raman JD, Bensalah K, Bagrodia A, et al. Laboratory and clinical development of single keyhole umbilical nephrectomy [Ｊ]. Urology, 2007; 70(6): 1039-1042.
6.	Cobellis G, Cruccetti A, Mastroianni L, et al. One-trocar transumbilical laparoscopic-assisted management of Meckel’s diverticulum in children [Ｊ]. J Laparoendosc Adv Surg Tech A, 2007; 17(2): 238-241.
7.	Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy [Ｊ]. Int J Colorectal Dis, 2008; 23(10): 1013-1016.
8.	Remzi FH, Kirat HT, Kaouk JH, et al. Single-port laparoscopy in colorectal surgery [Ｊ]. Colorectal Dis, 2008; 10(8): 823-826.
9.	Navarra G, Pozza E, Occhionorelli S, et al. One-wound laparoscopic cholecystectomy [Ｊ]. Br J Surg, 1997; 84(5): 695.
10.	张忠涛, 韩威, 李建设, 等. 经脐单孔腹腔镜胆囊切除术1例报告 [Ｊ]. 腹腔镜外科杂志, 2008; 13(4): 314.
11.	Moran EA, Gostout CJ. Surgeons without scalpels. A review of natural orifice translumenal endoscopic surgery [Ｊ]. Minn Med, 2008; 91(6): 34-37.
12.	周新华, 李宏, 陆才德, 等. 腹腔镜胆囊切除术中预防胆管损伤的经验（附2 694例报告） [Ｊ]. 中国普外基础与临床杂志, 2003; 10(5): 499-500.
13.	Cuesta MA, Berends F, Veenhof AA. The “invisible cholecystectomy”: A transumbilical laparoscopic operation without a scar [Ｊ]. Surg Endosc, 2008; 22(5): 1211-1213.
14.	刘永安, 李军, 徐少华. 复杂腹腔镜胆囊切除术中的操作技巧 [Ｊ]. 中国普外基础与临床杂志, 2004; 11(3): 207-208.
15.	Paul G. Curcillo May 16, 2007-Surgron performs frist-ever hidden scar gallbladder emoval through patient’s belly button [M/OL]. www.drexelmed.edu/about/news and annoucements.

1. 蔡秀军，　梁岳龙.　经自然孔道的内镜外科：　创造外科新时代？ [Ｊ]. 中国实用外科杂志,　2009；　29（1）:　38-39.
2. 周晓娜,　张忠涛.　经脐单孔腹腔镜外科技术应用现状和展望 [Ｊ]. 中国实用外科杂志, 2009; 29(1): 42-13.
3. Wheeless C. A rapid, inexpensive and effective method of surgical sterilization by laparoscopy [Ｊ]. J Reprod Med，1969; 3(5): 65-69.
4. Kosumi T, Kubota A, Usui N, et al. Laparoscopic ovarian cystectomy using a single umbilical puncture method [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2001; 11(1): 63-65.
5. Raman JD, Bensalah K, Bagrodia A, et al. Laboratory and clinical development of single keyhole umbilical nephrectomy [Ｊ]. Urology, 2007; 70(6): 1039-1042.
6. Cobellis G, Cruccetti A, Mastroianni L, et al. One-trocar transumbilical laparoscopic-assisted management of Meckel’s diverticulum in children [Ｊ]. J Laparoendosc Adv Surg Tech A, 2007; 17(2): 238-241.
7. Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy [Ｊ]. Int J Colorectal Dis, 2008; 23(10): 1013-1016.
8. Remzi FH, Kirat HT, Kaouk JH, et al. Single-port laparoscopy in colorectal surgery [Ｊ]. Colorectal Dis, 2008; 10(8): 823-826.
9. Navarra G, Pozza E, Occhionorelli S, et al. One-wound laparoscopic cholecystectomy [Ｊ]. Br J Surg, 1997; 84(5): 695.
10. 张忠涛, 韩威, 李建设, 等. 经脐单孔腹腔镜胆囊切除术1例报告 [Ｊ]. 腹腔镜外科杂志, 2008; 13(4): 314.
11. Moran EA, Gostout CJ. Surgeons without scalpels. A review of natural orifice translumenal endoscopic surgery [Ｊ]. Minn Med, 2008; 91(6): 34-37.
12. 周新华, 李宏, 陆才德, 等. 腹腔镜胆囊切除术中预防胆管损伤的经验（附2 694例报告） [Ｊ]. 中国普外基础与临床杂志, 2003; 10(5): 499-500.
13. Cuesta MA, Berends F, Veenhof AA. The “invisible cholecystectomy”: A transumbilical laparoscopic operation without a scar [Ｊ]. Surg Endosc, 2008; 22(5): 1211-1213.
14. 刘永安, 李军, 徐少华. 复杂腹腔镜胆囊切除术中的操作技巧 [Ｊ]. 中国普外基础与临床杂志, 2004; 11(3): 207-208.
15. Paul G. Curcillo May 16, 2007-Surgron performs frist-ever hidden scar gallbladder emoval through patient’s belly button [M/OL]. www.drexelmed.edu/about/news and annoucements.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Experience of Single Umbilical Port Laparoscopic Cholecystectomy Applying in 46 Cases

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