经脐单孔腹腔镜辅助与传统开腹脑室腹腔分流术单中心回顾性对比研究  

Retrospective Comparative Study of Transumbilical Single-Incison Laparoscopic Assisted and Laparotomy Ventriculoperitoneal Shunting:A Single Center Experience

作　　者：朱任重 于宏[1] 袁野[2] 杨涌杰[2] 吴硕东[1] 于宏 

机构地区：[1]中国医科大学附属盛京医院第二普通外科,辽宁沈阳110004 [2]中国医科大学附属盛京医院第二神经外科,辽宁沈阳110004

出　　处：《中国普外基础与临床杂志》2016年第8期957-960,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的分析经脐单孔腹腔镜辅助脑室腹腔分流术的安全性和可行性。方法回顾性收集2013年5月至2015年8月期间于我院诊断为脑积水行脑室腹腔分流术患者36例,其中采用经脐单孔腹腔镜辅助脑室腹腔分流术(简称"单孔腹腔镜组")12例,采用传统开腹脑室腹腔分流术(简称"传统开腹组")24例,比较2组患者的腹部手术时间、术后排气时间、术后住院时间、术后疼痛国际视觉类比评分及术后并发症。结果全部患者均成功完成脑室腹腔分流术。与传统开腹组比较,单孔腹腔镜组能够明显缩短腹部手术时间(P<0.05)、术后住院时间(P<0.05)和术后排气时间(P<0.05),且术后疼痛国际视觉类比评分明显降低(P<0.05),术后美容效果好,2组患者术后的相关并发症发生率比较差异无统计学意义(P>0.05)。结论从本组有限的病例资料初步得出,经脐单孔腹腔镜辅助脑室腹腔分流术安全、有效,美容效果好。Objective To analyze safety and feasibility of transumbilical single-incision laparoscopic assisted ventriculoperitoneal shunting. Methods The clinical data of 36 patients who diagnosed as hydrocephalus underwent ventriculoperitoneal shunting from May 2013 to August 2015 in this hospital were collected. Twelve patients were performed transumbilical single-incision laparoscopic assisted ventriculoperitoneal shunting (laparoscopy group) and 24 patients were performed laparotomy ventriculoperitoneal shunting (laparotomy group). The abdominal operation time, postopera- tive exhaust time, postoperative hospital stay, postoperative pain score, and postoperative complications rate were compared between the laparoscopy group and the laparotomy group. Results All the operations were completed successfully. Compared with the laparotomy group, the abdominal operation time (P〈0.05), postoperative exhaust time (P〈0.05), and postoperative hospital stay (P〈0.05) were significantly shorter, the postoperative pain score was significantly less (P〈0.05) in the laparoscopy group. The postoperative complications rate had no significant difference between the laparoscopy group and the laparotomy group (P〉0.05). Conclusions The preliminary results of limited cases in this study show that transumbilical single-incision laparoscopic assisted ventriculoperitoneal shunting is safe and feasible, with better cosmetic. More comparative studies or randomized controlled trials are required to make a confirmed conclusion.

关 键 词：脑室腹腔分流 单孔腹腔镜 脑积水 

分 类 号：R651.1[医药卫生—外科学]