探讨循Laennec膜间隙实施单孔腹腔镜胆囊切除术的临床安全性、可行性及应用价值。

回顾性分析2025年1月至12月收治的88例胆囊良性疾病患者病例资料，均行循Laennec膜间隙实施单孔腹腔镜胆囊切除术。记录手术完成情况、手术时间、术中出血量、术后住院时间及并发症发生情况。采用SPSS 21.0统计学软件分析数据，服从正态分布的计量资料以（

87例患者均顺利完成单孔手术，1例患者因肥胖原因致操作空间不足于剑突下追加1个辅助孔完成；手术时间23~75 min，术中出血量5~20 ml；术后2~3 d均顺利康复出院，未发生胆管损伤、胆瘘、大出血、腹腔感染等严重并发症。

循Laennec膜间隙行单孔腹腔镜胆囊切除术，解剖层次清晰，操作安全可靠、微创效果显著，能显著提高患者满意度，具有临床推广应用价值。

To explore the clinical safety, feasibility and application value of single-port laparoscopic cholecystectomy based on Laennec's membrane space.

The medical records of 88 patients with benign gallbladder diseases admitted from January to December 2025 were retrospectively analyzed. All patients underwent single-port laparoscopic cholecystectomy based on Laennec's membrane space. The completion of the surgery, operation time, intraoperative blood loss, postoperative hospital stay and occurrence of complications were recorded. Data were analyzed using SPSS 21.0 statistical software. Quantitative data that followed a normal distribution were expressed as (

87 patients successfully completed the single-port surgery, and 1 patient was unable to complete the operation due to insufficient operating space caused by obesity and had to add an additional auxiliary port under the xiphoid process. The operation time was 23 to 75 minutes, and the intraoperative blood loss was 5 to 20 ml. All patients were discharged smoothly within 2 to 3 days after surgery, without serious complications such as bile duct injury, biliary fistula, massive bleeding, or abdominal infection.

Single-port laparoscopic cholecystectomy based on Laennec's membrane space has clear anatomical layers, is safe and reliable to operate, and has significant minimally invasive effects. It can significantly improve patient satisfaction and has clinical application value for promotion.