单孔腹腔镜胆囊阑尾联合切除术治疗急性阑尾炎合并胆囊结石103例临床观察  

Effect of single-port laparoscopic cholecystectomy combined with appendectomy on acute appendicitis with cholecystolithiasis:a report of 103 cases

作　　者：毛亚明 张元魁 李志强 Mao Yaming;Zhang Yuankui;Li Zhiqiang(Department of Emergency,Luohe Hospital of Traditional Chinese Medicine,Luohe 462000,China)

机构地区：[1]河南省漯河市中医院急诊科,462000 [2]河南省漯河市中医院外二科,462000

出　　处：《中国实用医刊》2022年第2期50-52,共3页Chinese Journal of Practical Medicine

摘　　要：目的:分析单孔腹腔镜胆囊阑尾联合切除术治疗急性阑尾炎合并胆囊结石的手术效果。方法:抽取2017年1月至2020年1月漯河市中医院收治的行单孔腹腔镜胆囊阑尾联合切除术的103例患者为观察组,另外抽取同期行三孔腹腔镜胆囊阑尾联合切除术的103例患者为对照组。回顾性比较两组围术期指标,术后恢复情况以及并发症发生率。结果:观察组手术时间少于对照组( t=3.138, P<0.05),观察组切口小于对照组( t=3.138, P<0.05)。观察组患者术后住院时间、下床时间、进食时间以及术后肛门排气时间少于对照组( t=6.921、2.160、2.531、2.514, P<0.05)。观察组术后并发症发生率为1.94%(2/103),对照组为2.91%(3/103),两组比较差异未见统计学意义(χ^(2)=0.205, P=0.651)。 结论:单孔腹腔镜胆囊阑尾联合切除术可有效治疗急性阑尾炎合并胆囊结石,相比于三孔腹腔镜胆囊阑尾联合切除术,单孔腹腔镜术中创伤更小,患者术后恢复速度更快。Objective To analyze the surgical results of single-port and three-port laparoscopic cholecystectomy combined with appendectomy on acute appendicitis with cholecystolithiasis.Methods A total of 103 patients who underwent single-port laparoscopic cholecystectomy combined with appendectomy from January 2017 to January 2020 in Luohe Hospital of Traditional Chinese Medicine were selected as the observation group.In addition,103 patients who underwent three-port laparoscopic cholecystectomy combined with appendectomy during the same period were selected as the control group.The perioperative indicators,postoperative recovery and the incidence of complications were compared between the two groups.Results The operation time in the observation group was shorter than that in the control group(t=3.138,P<0.05),and the incision in the observation group was shorter than that in the control group(t=3.138,P<0.05).The postoperative hospital stay,out-of-bed time,eating time and postoperative anal exhaust time in the observation group were less than those in the control group(t=6.921,2.160,2.531,2.514,P<0.05).The postoperative complication rate was 1.94%(2/103)in the observation group and 2.91%(3/103)in the control group.There was no significant between the two groups(χ^(2)=0.205,P=0.651).Conclusions Single-port laparoscopic cholecystectomy combined with appendectomy is effective in the treatment of acute appendicitis complicated with cholecystolithiasis.Compared with three-port laparoscopic cholecystectomy combined with appendectomy,single port laparoscopic surgery has less trauma and faster recovery after surgery.

关 键 词：阑尾炎 胆囊结石 腹腔镜胆囊切除术 

分 类 号：R656.8[医药卫生—外科学] R657.42[医药卫生—临床医学]