期刊文献+

经脐单孔腹腔镜胆囊切除术与传统腹腔镜胆囊切除术的疗效比较 被引量:11

Comparison of efficacy and safety between transumbilical sing-port laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy
暂未订购
导出
摘要 目的探讨经脐单孔法腹腔镜胆囊切除术的安全性、可行性。方法随机将80例需行腹腔镜胆囊切除患者分为经脐单孔组和传统三孔法组各40例,比较两组手术中转率、手术时间、术中出血、术后切口疼痛、术后并发症、术后下床活动时间、肠功能恢复时间、术后住院时间。结果与传统三孔法相比,经脐单孔组除手术时间长外,其他临床观察指标两组间差异均无统计学意义(P<0.05)。经脐单孔组术后患者对腹部无可视疤痕满意。结论经脐单孔法腹腔镜胆囊切除术是安全可行的,患者对无可视疤痕满意,有推广价值。 Objective To compare the efficacy and safety between transumbilical single-port laparoscopic cholecystectomy and conventional laparoscopic cholesystectomy. Methods Eighty patients were randomly assigned to receive transumbilical single-port laparoscopic cholecystectomy ( single-port group) or conventional laparoscopic cholesystectomy ( three-port group) with 40 in each. Surgery transfer rate, operation time, blood loss, incision pain, complications, postoperative ambulation, recovery time of intestinal function and postoperative hospital stay were compared between the two groups. Results There were no differences in all clinical parameters, except a longer surgery-time in single-port group, between two groups. The patients in single-port groups were satisfied for invisible abdominal scar. Conclusion Transumbilical single-port laparoscopic cholecystectomy is an effective, safe and feasible surgical rnodality with satisfactory invisible abdominal scar.
出处 《同济大学学报(医学版)》 CAS 2013年第2期86-88,92,共4页 Journal of Tongji University(Medical Science)
关键词 经脐 单孔 胆囊切除术 腹腔镜 对比研究 transumbilicus single-port cholecystectomy laparoscopic comparative study
  • 相关文献

参考文献9

  • 1张振名,高鹏,屈坤鹏.单孔与三孔腹腔镜胆囊切除术的对比研究[J].腹腔镜外科杂志,2010,15(7):498-500. 被引量:12
  • 2Tacchino R, Greco F, Matera D. Single-incision laparoscopic cholecystectomy surgery without a visible scar [ J ]. Surg Endosc, 2009,23 (4) : 896 - 899.
  • 3Vidal O, Valentini M, Espert JJ, et al. Laparoendoscopic single-site cholecystectomy: a safe and reproducible alternative[J].Laparoendosc Adv Surg Tech A,2009,19(5) : 599-602.
  • 4张光永,胡三元,李峰.经脐单孔腹腔镜胆囊切除术[J].腹腔镜外科杂志,2009,14(1):18-20. 被引量:222
  • 5李潇娴,朱江帆,忻颖,马颖璋.经脐入路与传统腹腔镜胆囊切除术的比较[J].同济大学学报(医学版),2012,33(5):90-93. 被引量:5
  • 6Kalloo AN, Singh VK, Jagannath SB, et al. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity [ J]. Gastrointest Endosc, 2004,60( 1 ) : 114- 117.
  • 7Pollard JS, Fung AK, Ahmed I. Are natural orifice transluminal endoscopic surgery and single-incision surgery viable techniques for cholecystectomy? [ J ]. J Laparoendosc Adv Surg Tech A, 2012,22( 1 ) : 1 - 14.
  • 8Palanivelu C, Rajan PS, Rangarajan M, et al Transumbilical flexible endoscopic cholecystectomy in humans: first feasibility study using a hybrid technique [J]. Endoscopy, 2008,40(5): 428 -431.
  • 9Canes D, Desai MM, Aron M, et al. Transumbilical single-port surgery: evolution and current status [ J ]. Eur Urol, 2008,54(5) : 1020 - 1029.

二级参考文献40

  • 1Rao GV (2006). Transgastric appendectomy results and follow up, SAGES transgastric surgery panel [ C ]. Presented at SAGES Meeting,2006.
  • 2Kalloo AN, Singh VK, Jagannath SB, et al. Flexible transgastric peritoneoscopy:a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity[ J]. Gastrointest Endosc,2004,60 (1) :114-117.
  • 3Zorron R, Filqueiras M, Maggioni LC, et al. Transvaginal cholecystectomy : report of the first case [ J ]. Surg Innov,2007,14 (4) : 279-283.
  • 4Zornig C, Emmermann A, Von Waldenfels HA, et al. Laparoscopic cholecystectomy without visible scar: combined transvaginal and trasnumbilical approach [ J ]. Endoscopy,2007,9 (10) :913-915.
  • 5Marescaux J, Dallemagne B, Perretta S, et al. Surgery without scars : report of transluminal cholecystectomy in a human being [ J ]. Arch Surg, 2007,142 (9) : 823-826.
  • 6Kosumi T, Kubota A, Usui N, et al. Laparoscopic ovarian cystectomy using a single umbilical puncture method [ J ]. Surg Laparosc Endosc Percutan Tech, 2001,11 ( 1 ) : 63-65.
  • 7Ghezzi F, Cromi A, Fasola M, et al. One-trocar salpingectomy for the treatment of tubal pregnancy:a "marionette-like" technique [J]. BJOG,2005 ,112(10) :1417-1419.
  • 8D'Alessio A, Piro E, Tadini B, et al. One-trocar transumbilical laparoscopic-assisted appendectomy in children: our experience [ J]. Eur J Pediatr Surg,2002,12( 1 ) :24-27.
  • 9Raman JD, Bensalah K, Bagrodia A, et al. Laboratory and clinical development of single key hole umbilical nephrectomy [ J ]. Urology,2007,70 : 1039-1042.
  • 10Cobellis G, Cruccetti A, Mastroianni L, et al. One-trocar transumbilical laparoscopic-assisted management of Meckel's diverticulum in children [ J ]. J Laparoendosc Adv Surg Tech A, 2007,17 (2) : 238 -241.

共引文献232

同被引文献74

  • 1Ming-Xin Pan,Ze-Sheng Jiang,Yuan Cheng,Xiao-Ping Xu,Zhi Zhang,Jia-Sheng Qin,Guo-Lin He,Ting-Cheng Xu,Chen-Jie Zhou,Hai-Yan Liu,Yi Gao.Single-incision vs three-port laparoscopic cholecystectomy:Prospective randomized study[J].World Journal of Gastroenterology,2013,19(3):394-398. 被引量:29
  • 2霍丰,张志成.腹腔镜胆囊切除术并发症[J].海军总医院院刊,1994,7(3):182-183. 被引量:4
  • 3Abdel Azeez T, Mahran KM. Transumbilical laparoscopic chole- cystectomy: towards a scarless abdominal surgery [ J ]. Hepatogas- troenterology ,2011,58 (106) :298-300.
  • 4Bingener J, Gostout CJ. Update on natural orifice translumenal en- doscopic surgery [ J ]. Gastroenterol Hepatol ( N Y) , 2012,8 ( 6 ) : 384-389.
  • 5Leroy J, Barry BD, Melani A, et al. No-scar transanal total meso- rectal excision: the last step to pure NOTES for colorectal surgery [ J]. JAMA Surg,2013,148 (3) :226-230 ; discussion 231.
  • 6Lacy AM, Adelsdorfer C, Delgado S, et al. Minilaparoscopy-assis- ted transrectal low anterior resection (LAR) : a preliminary study [J]. Surg Endosc,2013,27( 1 ) :339-346.
  • 7Georgiou AN, Rassweiler J, Herrmann TR, et al. Evolution and simplified terminology of natural orifice transluminal endoscopic surgery ( NOTES), laparoendoseopic single-site surgery ( LESS), and mini-laparoscopy (ML) [ J]. World J Uml,2012,30(5 ) :573- 580.
  • 8Tsimoyiannis EC, Tsimogiannis KE, Pappas-Gogos G, et al. Dif- ferent pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholccystectomy: a randomized controlled trial [ J]. Surg Endosc, 2010,24 (8) :1842- 1848.
  • 9Kasprzak A, Szmyt M, Malkowski W, et al. Analysis of immnno- histochemical expression of proinflammatory cytokines ( IL-1α, IL- 6, and TNF-α) in gallbladder mucosa: comparative study in acute and chronic calculous cholecystitis [ J ]. Folia Morphol ( Warsz ) , 2015,74( 1 ) :65-72.
  • 10Ozsan I, Yoldas O, Karabuga T, et al. Early laparoscopic chole- cystectomy with continuous pressurized irrigation and dissection in acute cholecystirs [J]. Gastroenterol Res Pract, 2015,2015: 734927.

引证文献11

二级引证文献34

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部