经脐单孔腹腔镜胆囊切除术与常规腹腔镜胆囊切除术的临床疗效比较  

Clinical Study on Transumbilical Single Port Laparoscopic Cholecystectomy Comparing with Conventional Laparoscopic Cholecystectomy

作　　者：王广伟[1] 顾元龙[2] 吴兴桂[1] 翟年宽[2] 刘敏丰[2] 

机构地区：[1]中国人民解放军第152中心医院普外一科,河南平顶山467000 [2]南通大学第三附属医院肝胆胰外科,江苏无锡214041

出　　处：《中国普外基础与临床杂志》2011年第12期1305-1308,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的比较经脐单孔腹腔镜胆囊切除术(LC)与常规LC的的优、缺点。方法回顾性分析2009年11月至2010年11月期间45例行择期胆囊切除患者,分别行经脐单孔LC(经脐LC组,n=20)和常规LC(常规LC组,n=25)。比较2组患者的手术时间、术后3d肝功能评分、术后3d应用止痛药频率、术后首次下床时间、术后住院时间、术中失血量及术后1个月慢性疼痛情况。结果除常规LC组1例由于Mirizzi综合征而中转开腹外,余均顺利完成手术。术后3d内应用止痛药频率和术后住院时间,经脐LC组优于常规LC组(P<0.05);而术后1个月内手术区域慢性疼痛及肝功能评分方面,经脐LC组与常规LC组比较差异无统计学意义(P>0.05);手术时间和术中失血量方面常规LC组优于经脐LC组(P<0.05,P<0.01)。结论经脐单孔LC具有伤口小、疼痛轻及恢复快的优点。Objective To compare the advantages and disadvantages of transumbilical single port（TUSP） and conventional laparoscopic cholecystectomy（LC）. Methods The clinical data of 45 patients underwent elective LC were analyzed,20 patients with TUSP LC（TUSP-LC group）,25 patients with conventional LC（conventional LC group）.The operation time,Child-Pugh score and painkiller application frequency within three days after operation,the first time of out of bed and hospital stay after operation,intraoperative blood loss,chronic pain within one month after surgery were compared between two groups. Results All cases were operated successfully except one patient in the conventional LC group.The frequency of painkiller application within three days after operation and postoperative hospital stay in the TUSP-LC group were better than those in the conventional LC group（P〈0.05）.There were no significant differences on postoperative chronic pain of surgical area within 1 month and Child-Pugh score between two groups（P〉0.05）.The operation time and intraoperative blood loss in the conventional LC group were less than those in the TUSP-LC group（P〈0.05,P〈0.01）. Conclusion TUSP LC has the advantages of small wound,slight pain,and fast recovery.

关 键 词：经脐入路 单孔 腹腔镜胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]