经脐单孔与传统三孔腹腔镜胆囊切除术的对比研究  

Comparative Study of Transumbilical Hole and the Traditional Three - hole for Laparoscopic Cholecys- tectomy

作　　者：赵强[1] 李钰[1] 裴根仓 马雪华[1] 查海群 郏凤琴 张晓梅[1] 

机构地区：[1]淮北矿工总医院普外科,安徽淮北235000

出　　处：《解剖与临床》2013年第6期488-491,共4页Anatomy and Clinics

摘　　要：目的：探讨经脐单孔腹腔镜胆囊切除术（LC）的安全性、可行性及临床价值。方法：选择我院收治的胆囊良性病变患者290例，随机分为两组：观察组145例患者，采用经脐单孔LC的方式进行手术；对照组145例患者采用三孔法LC手术方式。对比两组手术时间、术中出血量、术后并发症、术后疼痛程度、开始进食时间及术后住院时间等指标。结果：两组术中出血量、术后进食时间及术后住院时间比较，差异无统计学意义（P〉0．05）；观察组术后疼痛程度明显小于对照组，对照组手术时间则明显短于观察组，两组比较差异均有统计学意义（P〈0．05）。结论：经过本研究可以证实，经脐单孔LC术在临床应用中是安全可行的，其术后疼痛程度明显小于三孔法LC，且具有较佳的美容效果，具有临床推广价值，值得进一步推广。Objective：To evaluate the safety, feasibility and clinical value of umbilical single - port laparoscopic cholecystectomy. Methods：290 cases of laparoscopic cholecystectomy in our hospital were ran- domly divided into two groups ： observation group were 145 cases, the use of the way through the umbilical hole LC surgery; control group, 145 cases were treated with three holes LC surgery. Operative time, blood loss, postoperative complications, postoperative pain, start eating time and postoperative l＇~ospitalization time and oth- er indicators were compared in two groups. Results ： The blood loss, postoperative feeding time and postoperative hospital stay in two groups were not statistically significant （ P 〉 0.05 ） ; postoperative pain of observation group was significantly less than the control group, while operative time in control group was significantly shorter in the observation group, the difference was statistically significant （P 〈 0.05 ）. Conclusions ： After this study we can confirm via the umbilical hole LC patients in the clinical application is safe and feasible, and its degree of postoperative pain is significantly less than the three -port LC, and has better cosmetic results, with a clinical value and worthy of further promotion.

关 键 词：经脐单孔 腹腔镜 胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]