经脐单孔腹腔镜胆囊切除术与传统腹腔镜胆囊切除术的比较  

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

作　　者：陈小伍[1] 王卫东[1] 陈坚平[1] 吴志强[1] 冯剑平[1] 刘清波[1] 何威[1] 林杰[1] 

机构地区：[1]南方医科大学附属顺德第一人民医院普外二区,广东佛山528300

出　　处：《岭南现代临床外科》2014年第1期41-43,共3页Lingnan Modern Clinics in Surgery

基　　金：佛山市顺德区经济促进进局资助科研立项(2010020 2007)

摘　　要：目的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(LC)的优缺点。方法回顾分析我院2010年6月至2013年6月40例接受经脐单孔LC患者的临床资料,并与同期完成的40例传统四孔法LC患者的临床资料进行对照分析。观察对比两组手术时间、术中出血量、术后肠功能恢复时间、术后使用镇痛药的患者例数、术后住院时间及并发症的发生。结果全部80例手术均获成功,术后无并发症发生。经脐单孔LC组与传统四孔法LC组相比,手术时间较长[(50.3±24.9)min vs.(35.1±17.6)min,P<0.05],但术后使用镇痛药者少(5%vs.27.5%,P<0.05)、术后住院时间短[(3.9±0.7)d vs.(6.2±0.9)d,P<0.05];而两组术中出血量和术后肠功能恢复时间[(23.7±4.6)mL vs.(22.1±4.3)mL,P>0.05]和[(23.6±6.5)h vs.(24.9±7.7)h,P>0.05]无显著性差异。结论经脐单孔腹腔镜胆囊切除术是一种安全可行和更微创的术式,与传统术式相比,它具有术后疼痛轻、恢复快、腹部疤痕不明显等优点。Objective To investigate the advantages and disadvantages of the transumbilical single port laparoscopic cholecystectomy （LC） and conventional LC. Methods Eighty patients received transumbilical single port LC （TUSPLC group, n=40） and traditional LC （TLC group, n=40） from June 2010 to June 2013 were included in the study. The clinical data were retrospectively analyzed. The operative time, intraoperative blood loss, postoperative intestinal function recovery time, the cases of postoperative using analgesic postoperative hospital stay and complications were compared between two groups. Results All operations in 80 cases were successful. No postoperative complications occurred. Compared with TLC group, the TUSPLC group took longer operative time [（50.3±24.9） min vs. （35.1± 17.6） min, P〈0.05], but the patients who needed analgesic after operation were less （5% vs. 27.5%, P〈 0.05）, and the postoperative hospital stay was shorter [ （3.9±＋0.7）d vs. （6.2±0.9）d,P〈0.05 ]. For the intraoperative blood loss and postoperative intestinal function recovery time, there were no significant differences between the two groups （P〉0.05）. Conclusion Transumbilical single port LC is a safe, feasible and more minimally invasive surgery as compared with the traditional operation, and it has advantages of less postoperative pain, faster recovery and no obvious abdominal scars.

关 键 词：腹腔镜 胆囊切除术 单孔 经脐入路 

分 类 号：R657.4[医药卫生—外科学]