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目的探讨单孔腹腔镜行BISMUTH Ⅰ型肝门胆管癌切除的安全性和可行性。方法回顾性总结和分析2例行经脐单孔腹腔镜BISMUTHⅠ型肝门胆管癌切除患者的术前、术中和术后情况。结果 2例患者均成功完成手术,手术时间分别为300min和350min;术中出血量为200ml和350ml;术后住院日分别为6d和9d。术后病理切除标本切缘肿瘤细胞阴性。1例术后出现胆汁漏,持续6d后闭合。患者对切口满意度高。结论在严格选择患者的基础上,单孔腹腔镜BISMUTHⅠ型肝门胆管癌切除术是安全和可行的,需要进一步的临床、随机、对照试验评价其临床应用价值。
Objective To investigate the safety and feasibility of resection of BISMUTH Ⅰ hilar cholangiocarcinoma by single-hole laparoscopy. Methods The clinical data of 2 cases of BISMUTH Ⅰ hilar cholangiocarcinoma resected through single-hole umbilical laparoscopic surgery were retrospectively reviewed and analyzed preoperatively, intraoperatively and postoperatively. Results Two patients were successfully completed the operation, the operation time was 300min and 350min respectively. The intraoperative blood loss was 200ml and 350ml. The postoperative hospital days were 6d and 9d respectively. After resection of tumor specimens, the tumor cells were negative. Bile leakage occurred in 1 patient and closed after 6 days. Patient satisfaction with the incision. Conclusions On the basis of strict selection of patients, single-hole laparoscopic BISMUTH Ⅰ hilar cholangiocarcinoma resection is safe and feasible, and further clinical, randomized, controlled trials need to evaluate its clinical value.