摘要
目的:探讨经脐单孔腹腔镜胆囊切除术的安全性、可行性及优势。方法回顾分析为60例患者实施腹腔镜胆囊切除术患者的临床资料,其中,30例行传统多孔腹腔镜胆囊切除术(Laparoscopic cholecysectomy,LC,A组);30例为行经脐单孔腹腔镜胆囊切除术(transumbilical single-incision laparoscopic surgery,TUSILS,B组)。对比术中及术后并发症、中转开腹率、术中出血量、术后住院时间及费用、手术时间、术后疼痛程度、切口长度及腹壁美容程度。结果在两组的的评价指标中,术中及术后并发症、中转开腹率、术中出血量、术后住院时间及费用之间的差异无统计学意义(P>0.05);在手术时间、术后疼痛程度、切口长度及腹壁美容程度方面,差异有统计学意义(P<0.05)。结论对于单纯的胆囊良性疾病(包括胆囊结石、胆囊息肉),经脐单孔腹腔镜技术是安全可行的,且术后疼痛轻,更微创、美容效果更佳、恢复快,但所需的手术时间比较长,手术操作要求较高。
Objective To explore the feasibility,safety and value of laparoscopic cholecysectomy through transumbilical tingle-incision.Methods The clinical data of 60 patients who underwent laparoscopic cholecysectomy were retrospectively analyzed,of which 30 underwent under traditional Laparoscopic Cholecysectomy(LC,A group),and 30 was transumbilical single-incision laparoscopic surgery(TUSILS,B group).Contrasts in its intranperative and postoperative complications,the conversion rate,estimated blood loss during operation,postpcrative hospital stay and cost,the surgery time,postoperative pain,margin length,and cosmetic outcomes.Results There were no significant differences between two groups,such as intranperative and postoperative complications,the conversion rate,estimated blood loss during operation,postpcrative hospital stay and cost(P>0.05).Compared with the surgery time,postoperative pain,margin length,and cosmetic outcomes,two group was different(P<0.05).Conclusion In the laparoscopic surgery,TUSILS is a minimally invasive,safe and effective procedure for benign diseases of the gallbladder with excellent cosmetic results,while it needs most surgery time and good surgery skill.
作者
苏章权
杨达平
张垂金
余永忠
SU Zhang-quan;YANG Da-ping;ZHANG Chui-jin;YU Yong-zhong(Department of Surgery,Wangjiafan Township Hospital,Yidu 443000,Hubei,China;Department of Surgery,Chinese Medicine Hospital of Yidu,Yidu 443000,Hubei,China)
