伞式单孔免气腹技术行腹腔镜胆囊切除术的动物实验研究  

An animal experimental study on laparoscopic cholecystectomy using umbrella-type single-port gasless laparoscopy

作　　者：吴东波[1,2] 林慧玲 叶茂英 耿葵花[9] 郑广平[9] 陈景繁[5] 韦晓谋[6] 陈纪飞[6] 段永凤 廖锦云 田柳萍 容洁 梁旭斌[9] WU Dong-bo;LIN Hui-ling;YE Mao-ying(Department of General Surgery,the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区人民医院普通外科,南宁530021 [2]广西医科大学第四附属医院 [3]广西医科大学第四附属医院医务部,柳州545001 [4]广西医科大学第四附属医院麻醉科,柳州545001 [5]广西医科大学第四附属医院肝胆外科,柳州545001 [6]广西医科大学第四附属医院检验科,柳州545001 [7]广西医科大学第四附属医院整形科,柳州545001 [8]广西医科大学第四附属医院胃肠外科,柳州545001 [9]广西大学机械与工程学院,南宁530004

出　　处：《中国临床新医学》2020年第8期771-774,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：国家自然科学基金资助项目(编号:81160187);广西自然科学基金资助项目(编号:2017GXNSFAA198093)。

摘　　要：目的探讨自行研发的伞式单孔免气腹装置在腹腔镜胆囊切除术中的应用效果。方法将39只实验猪随机分为实验组(n=20,应用伞式单孔免气腹装置进行腹腔镜胆囊切除术)和对照组(n=19,应用常规气腹进行腹腔镜胆囊切除术)。比较两组的手术时间、术中出血量、术后超敏C反应蛋白(hs-CRP)、手术切口长度及术中并发症发生情况。结果两组手术均顺利完成,均无中转开腹手术,无术中大出血、器官损伤等严重并发症发生。实验组手术时间较对照组长,差异有统计学意义(P<0.05)。两组在术中出血量、术前后hs-CRP水平和手术切口长度比较差异无统计学意义(P>0.05)。结论与常规气腹手术比较,应用伞式单孔免气腹装置行腹腔镜胆囊切除手术安全可行,且手术伤口位于脐部,美容效果更好。Objective To explore the application effect of self-developed umbrella-type gasless device on laparoscopic cholecystectomy with single incision.Methods Thirty-nine experimental pigs were randomly divided into the experimental group(n=20,laparoscopic cholecystectomy using umbrella-type gasless device with single incision)and the control group(n=19,laparoscopic cholecystectomy using conventional pneumoperitoneum).The operation time,intraoperative blood loss,postoperative hypersensitive C-reactive protein(hs-CRP),length of surgical incision and intraoperative complications were compared between the two groups.Results The operations in both groups were completed successfully,and there were no conversion to open surgery,and no serious complications such as major bleeding and organ damage during the operations.The operation time of the experimental group was longer than that of the control group,and the difference was statistically significant(P<0.05).There were no significant differences between the two groups in the intraoperative blood loss,the levels of hs-CRP before and after operation,and the length of surgical incision(P>0.05).Conclusion Compared with the conventional pneumoperitoneum surgery,the self-developed umbrella-type gasless device is safe and feasible for laparoscopic cholecystectomy with single incision,and the surgical wound is located in the umbilicus when the self-developed umbrella-type gasless device with single incision is used,and its cosmetic effect is better.

关 键 词：腹腔镜胆囊手术 单孔腹腔镜手术 免气腹腹腔镜手术 动物实验 

分 类 号：R657.4[医药卫生—外科学]