经脐单切口与传统三孔法腹腔镜阑尾切除术的对照研究  

A comparative study of transumbilical single incision laparoscopic appendectomy and conventional triport laparoscopic appendectomy

作　　者：陈骁[1] 耿良元[2] 白剑峰[2] 

机构地区：[1]南通市第二人民医院,江苏南通226002 [2]南京医科大学第一附属医院

出　　处：《腹腔镜外科杂志》2012年第11期856-858,共3页Journal of Laparoscopic Surgery

摘　　要：目的:对比分析经脐单切口与三孔法腹腔镜阑尾切除术的近期疗效。方法:回顾分析2008年10月至2012年4月为91例患者行腹腔镜阑尾切除术的临床资料,其中44例采用经脐单切口阑尾拖出法,47例采用传统三孔法施术。对比分析两组患者一般资料、手术时间、出血量、中转率、术后住院时间、并发症发生率、切口长度、美观程度、住院费用等指标。结果:两组患者一般资料、出血量、术后住院时间、中转率、并发症发生率差异无统计学意义(P>0.05);经脐单切口组手术时间短、住院费用低,美观度评分高,单孔法切口稍长,差异有统计学意义(P<0.05)。结论:采用经脐单切口阑尾拖出法行腹腔镜阑尾切除术安全、可行,手术简单、美观,费用低。Objective：To compare the short-term outcomes of transumbilical single incision laparoscopic appendectomy（SILA） and conventional triport laparoscopic appendectomy（LA）.Methods：The clinical data of 91 patients who underwent laparoscopic appendectomy from Oct.2008 to Apr.2012 were retrospectively analyzed.Forty-four patients were designated to the SILA and 47 to LA.The data of general condition,operative time,blood loss,rate of conversion to laparotomy,postoperative hospital stay,complications,incision length,cosmetic score and hospitalization costs were compared between SILA and LA.Results：No significant difference was detected between the two groups in general condition,blood loss,rate of conversion to laparotomy and complications（P0.05）.Insicion length of SILA was longer.However,surgical time of SILA was shorter,hospitalization costs were lower and cosmetic score was higher.Conclusions：SILA is feasible,safe,simple,cosmetic,and with a lower cost.

关 键 词：阑尾切除术 腹腔镜检查 经脐 单切口 对照研究 

分 类 号：R656.8[医药卫生—外科学]