摘要
目的评价经脐单孔腹腔镜胆囊切除术的安全性、可行性及优势。方法回顾性分析经脐单孔腹腔镜胆囊切除术组(A组,16例)及传统四孔法腹腔镜胆囊切除术组(B组,20例)临床资料,A组采用脐孔上缘20 mm圆弧形切口,切口中间穿刺置入直径10 mm穿刺鞘,观察镜进入;两侧分别置入两个5 mm的穿刺鞘,放置操作器械,器械摆放呈"三角"状,各穿刺鞘之间由腹壁组织相间隔。经右锁骨中线肋缘下穿刺置入直径1 mm的克氏针,以克氏针钝头辅助牵引暴露术野,完成手术操作。结果 A组与B组比较,手术时间分别为(63.1±11.2)min vs.(52.9±13.1)min,术后疼痛评分为(1.2±1.0)vs.(2.5±1.2),均有统计学差异(P<0.05),而术后肠功能恢复时间、术中出血量、住院天数均无统计学差异(P>0.05)。结论现阶段的经脐单孔腹腔镜胆囊切除术是安全可行的,且更具有微创、美容的优势。
Objective To evaluate the safety,feasibility and advantages of transumbilical single port laparoscopic cholecystectomy.Methods Retrospective study was achieved on the length of operation time,intraoperative hemorrhage,pain levels,intestinal function recovery time,length of hospital stay between the transumbilical single port laparoscopic cholecystectomy（group A,16 cases） and the conventional laparoscopic cholecystectomy（group B,20 cases）.Results In the group A and B,it showed significant differences（P0.05） in the operation time of（63.1±11.2）min vs.（52.9±13.1）min respectively,and the visual analogue scale（VAS）of（1.2±1.0） vs.（2.5±1.2） respectively.But there was no difference in the intraoperative hemorrhage volnume,the intestinal function recovery time,and the length of hospital stay（P0.05）.Conclusion Transumbilical single port laparoscopic cholecystectomy is safe and feasible with similar clinical outcomes comparing to the conventional laparoscopic cholecystectomy.
出处
《中国现代手术学杂志》
2011年第1期5-7,共3页
Chinese Journal of Modern Operative Surgery
关键词
胆囊切除术
腹腔镜
cholecystectomy
laparoscopic
