目的

探讨经脐单孔腹腔镜胆囊切除术联合脐疝修补术的临床应用安全性和疗效。

方法

回顾性分析2022 年9 月至2023 年10 月在云南省第一人民医院行经脐单孔腹腔镜胆囊切除术联合脐疝修补术的5 例胆囊结石伴胆囊炎合并脐疝患者临床资料。其中男4 例，女1 例；年龄45～56 岁，中位年龄49 岁。观察患者围手术期情况和疗效。

结果

5 例患者均顺利完成手术，无中转开腹，无增加其他操作孔。手术时间65～90 min，中位时间82 min；术中出血量10～25 ml，中位出血量16 ml。术后均给予抗感染、对症支持治疗，5 例患者均恢复良好，无出血、胆漏等并发症发生，术后5 d出院，随访至投稿日期无胆结石复发，脐疝无复发。

结论

经脐单孔腹腔镜胆囊切除术联合脐疝修补术能缩短患者住院时间，避免多次手术对患者的创伤，且手术切口美观，对于胆囊结石合并脐疝的患者，推荐使用该术式。

Objective

To evaluate the safety and clinical efficacy of transumbilical single-port laparoscopic cholecystectomy combined with umbilical hernia repair.

Methods

Clinical data of 5 patients with gallstones， cholecystitis complicated with umbilical hernia treated with transumbilical single-port laparoscopic cholecystectomy combined with umbilical hernia repair in the First People’s Hospital of Yunnan Province from September 2022 to October 2023 were analyzed retrospectively.Among them， 4 patients were male and 1 female， aged from 45 to 56 years， with a median of 49 years.Perioperative status and clinical efficacy were observed.

Results

All 5 patients successfully completed the operation.None was converted to open surgery and no additional port was created.The operation time was 65-90 min， with a median time of 82 min.Intraoperative blood loss was 10-25 ml， with a median of 16 ml.All patients were given with antiinfection and symptomatic treatments after operation.All 5 patients recovered well.No complications such as bleeding and bile leakage occurred.All patients were discharged at postoperative 5 d.No recurrence of gallstones or umbilical hernia was reported as of the paper submission date.

Conclusions

Transumbilical single-port laparoscopic cholecystectomy combined with umbilical hernia repair can shorten the length of hospital stay， avoid the injury induced by multiple operations and yield cosmetic surgical incisions， which is recommended for patients with gallstones complicated with umbilical hernia.