经脐单孔腹腔镜胆囊切除术与传统腹腔镜胆囊切除术的临床对比研究  

Comparative study on transumbilical single port laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy

作　　者：王建国 刘琪[2] 薄涛 任义 

机构地区：[1]山西省中西医结合医院普外一科,太原030013 [2]山西中医学院

出　　处：《中国实用医药》2012年第34期34-35,共2页China Practical Medicine

摘　　要：目的对比探讨经脐单孔腹腔镜胆囊切除术和传统腹腔镜胆囊切除术的优缺点。方法回顾分析2011年12月至2012年5月山西省中西医结合医院普外一科开展的经脐单孔LC(1组,n=32)及同期完成的传统LC(2组,n=35)的临床资料。观察对比两组手术时间、术中出血量、术后肠功能恢复时间、术后住院时间及并发症的发生。结果 67例手术均获成功,术后无并发症发生。两组手术时间、术中出血量、术后肠功能恢复时间、术后住院时间差异均无统计学意义(P>0.05)。结论经脐单孔腹腔镜胆囊切除术是安全可行的,具有优于传统术式的美容效果以及术后疼痛轻、恢复快等优点。Objective To compare the clinical efficacy of transumbilical single port laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy,and to investigate the safety,feasibility and value of transumbilical single port laparoscopic cholecystectomy. Methods From December 2011 to May 2012, 67 patients with beliary disease were assigned to TUFS or three port group,with 32 cases in TUFS And 35 three port group.The operation time,the operative bleeding volume,the side injury during operation,the degree of postoperative pain,the postoperative intestinal function recovery time,the postoperative complications and the postoperative hospitalized day were compared. Results All patients successfully completed the surgery.No postoperative complications were found in two groups. No significant difference was detected in the operation time,postoperative bleeding rate,postoperative intestinal function recovery time and hospital stay between the two groups （P0.05）. Conclusion Transumbilical single port laparoscopic cholecystectomy is a safe,feasible and more minimally invasive way,with the advantages of less postoperative pain,quicker recovery and no obvious abdominal scar.

关 键 词：单孔 胆囊切除术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]