荆楚网（湖北日报）（通讯作者：李林木、张宇、叶欣）10月25日，武汉普仁湖棘石症医院手术团队在常务副院长常江帆的主刀下，成功实施首例单孔经囊胆管探查取石手术 手术治疗国内外未见报道）。该手术创新地将磁牵引定位技术与单孔腹腔镜技术相结合，实现胆囊结石和胆道结石的同步精准切除，且不刺激胆管，不损伤十二指肠乳头。 精准响应患者需求，磁力牵引技术解决传统手术痛点 刘某（姓华），53岁，河北人，因胆囊反复右上腹疼痛，于10月23日抵达武汉市普仁湖棘石症医院结石伴有肾总管结石。检查显示，刘女士患有胆囊结石合并胆总管结石。了解病情后，刘女士对主诉有明确诉求：希望手术不仅能彻底清除结石，还能避免传统手术中切开胆囊、扩张乳头等可能引起的狭窄、胆汁反流等并发症，同时达到微创、良好的治疗效果。 “传统的常见肾结石治疗方案有明显的局限性：夺取胆管并切除肾脏存在胆管狭窄的风险；定期扩乳头或切开会破坏引流管的放置，影响术后患者的生活质量。”武汉普人湖棘石症医院常务副院长蒋凡说。 响应患者需求d为了“微创、无创”，团队经过专家评估后决定采用磁力牵引技术来优化手术方案。该技术的主要价值在于解决单孔腹腔镜手术视野暴露不足、操作灵活性有限的痛点，为精细手术提供稳定支撑。 磁牵引下单孔经囊管切石术。通讯员供图 10月25日，医生通过单孔脐入路建立手术通道，采用磁力牵引显露三角胆囊进行稳定牵引，并使用超薄胆道镜经胆囊管进入胆总管腔，使术中及手术过程更加清晰。在成功取出结石的同时，保留了胆管和乳头的结构完整性，避免了传统手术带来的创伤和风险。时间整个手术非常顺利，只用了40分钟。手术过程中出血很少，不需要引流管。刘女士术后恢复良好。他当天就起床活动，第二天吃饭。无胆漏、感染等并发症发生。 磁力牵引技术三大优势 参照标准SA微创新标准 According to the surgical team, the application of magnetic traction technology in this operation highlighted three advantages of success: First, the field of view is precise and controllable.磁力牵引相当于给外科手术增添了一个“视觉助手”。它利用外部磁控装置来停止胆囊的三角区域，并清晰地暴露手术野。 It solves the problem of mutual interference with instruments and blurred vision in single-port laparoscopic surgery, making the stone removal more accurate and the operation safe河二是做到“无害”治疗。 The operation is performed through a single hole approach through the navel, and the common bile duct is inserted through the natural passage of the cystic duct without incision.g bile duct wall.解剖结构及胆管、十二指肠乳头结构保存完整。 Physiological function, it can avoid complications such as postoperative bile duct stenosis and bile reflux from the root cause, and truly achieve "no trauma, preserved function".三是术后恢复高效、美观。整个手术仅用时40分钟，术中出血极少，无需引流管。患者术后当天即可下床活动，并于第二天恢复进食。单孔切口隐藏在脐带中。术后几乎无明显疤痕，完美满足患者“微创、美观、快复”的需求。covery." "Magnetic traction is equivalent to adding a 'visible assistanthand' in surgery, which not only improves the safety of single-hole operations, but also reduces additional incisions, making it possible to achieve 'no damage, no drainage, no scars' in the true sense," said Jiang Fan. 行业重视，推广常规超微创理念 As the leading cholelithiasis specialist team in Hubei province in the number of single-port operations, Wuhan Purenhu echinolithiasis hospital will continue to innovate in the field of single-port laparoscopy, magnetic control technology, and operation function. The success of the first single-port transcystic duct common bile duct lithotomy surgery under magnetic traction not only expands the application boundaries of single-port laparoscopy in the treatment of biliary diseases, but also provides a new optionn in treatment for patients with common bile duct stones. “我们追求的不仅仅是‘小l' surgical incision, but also 'light damage' to the patient's body tissue, 'full preservation' of function and 'high efficiency' of recovery." Jiang Fan, executive vice president of Wuhan Purenhu Echinolith Disease Hospital, said that the magnetic traction technology and single-hole abdominal cavity The combination of endoscopes allows the minimally invasive treatment of the biliary tract to move from "minimally invasive" to “超微创”和“无伤”期。 In the future, the hospital will continue to promote the clinical application and advancement of this type of innovative technology, so that more patients with gallstone disease can benefit from accurate, safe and efficient ultra-minimally invasive treatment options.