经脐单孔腹腔镜与传统腹腔镜胆囊切除术的疗效对比观察  

Efficacy of umbilical hole laparoscopic and conventional laparoscopic cholecystectomy:a comparative study

作　　者：卢茂松[1] 黄钲焘[1] 曾鹏飞[1] 

机构地区：[1]遵义医学院第三附属医院肝胆外科,贵州遵义563002

出　　处：《中华医院感染学杂志》2011年第18期3851-3853,共3页Chinese Journal of Nosocomiology

摘　　要：目的对照研究经脐单孔腹腔镜与传统腹腔镜胆囊切除术的疗效。方法选择具有择期胆囊切除术手术指征者139例随机分治疗组82例、对照组57例,分别进行经脐单孔腹腔镜与传统腹腔镜胆囊切除术;分析其手术时间、术中出血量、下床活动时间、术后住院天数及并发症发生率;1个月后对患者进行腹壁创口满意度调查;并进行统计分析。结果治疗者与对照组手术时间分别为(52.1±6.7)min、(33.8±7.2)min;术中出血量(39.2±12.5)ml、(42.7±11.9)ml;下床活动时间(14.3±6.5)h、(12.6±6.7)h;术后住院天数(5.7±1.3)d、(5.2±1.1)d;并发症发生率2.44%、1.75%,2组手术时间增加比较,差异有统计学意义(P<0.05),其他差异均无统计学意义;1个月后随访2组患者对腹壁创口满意率分别为96.34%和8.77%,差异有统计学意义(P<0.05)。结论经脐单孔腹腔镜与传统腹腔镜胆囊切除术,除手术时间增加外其疗效相仿,切口愈合良好,疤痕隐蔽,使腹壁创口能真正达到美的效果。OBJECTIVE To comparatively study of laparoscopic and conventional single hole through umbilical laparoscopic cholecystectomy patients.METHODS A total of selective 139 cases with cholecystectomy surgical indications were randomly divided into treatment group（82 cases）and control group（57 cases）,were carried out by the umbilical hole laparoscopic cholecystectomy with conventional laparoscopic;of the operation time,blood loss,get active time,postoperative hospital stay（d） and complication rates;the satisfaction of the patients with abdominal wounds were investigated after 1 month and statistically analyzed.RESULTS The operation time（min）,blood loss（ml）,get active time（h）,postoperative hospital stay（d） and complication rates were（52.1±6.7） and（33.8±7.2）,（39.2±12.5） and（42.7±11.9）,（14.3±6.5） and（12.6±6.7）,（5.7±1.3）and（5.2±1.1）,the incidence rates of the complications were 2.44% and 1.75% which showed significant difference on the treatment group increased operative time（P〈0.05） were not significantly different the rest（P〉0.05）;1-month follow-up two patients after abdominal wounds were very satisfied with the degree of 96.34% and 8.77%,the difference between them was statistically significant（P〈0.05）.CONCLUSION The clinical efficacy of the umbilical hole laparoscopic cholecystectomy is similar to conventional laparoscopic cholecystectomy except the increased operation time with the good wound healing and scars hidden,which can make the abdominal wall wounds actually achieve the beautiful effect.

关 键 词：经脐单孔腹腔镜 传统腹腔镜 胆囊切除术 

分 类 号：R181.32[医药卫生—流行病学]