单孔腹腔镜胆囊切除术手术时间延长的影响因素分析  

Influencing factors analysis of prolonged operation time of single incision laparoscopic cholecystectomy

作　　者：侯泽斌 段亚飞 徐辉[1] 罗银义 崔桐[1] 闫军[2] HOU Ze-bin;DUAN Ya-fei;XU Hui(Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学,山西太原030001 [2]山西医科大学第一医院肝胆胰外科

出　　处：《腹腔镜外科杂志》2022年第5期362-366,共5页Journal of Laparoscopic Surgery

摘　　要：目的:探讨单孔腹腔镜胆囊切除术手术时间延长的影响因素。方法:纳入2018年4月至2021年6月行单孔腹腔镜胆囊切除术的556例患者,分析手术时间延长的相关影响因素及其与并发症的关系,采用χ^(2)检验、t检验及多因素Logistic回归分析对13个因素进行分析。结果:手术时间延长组与未延长组在BMI、上腹部手术史、急性炎症期、胆囊壁厚超过3 mm、胆囊萎缩、并发症方面差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,BMI(P<0.05,OR=1.729)、上腹部手术史(P<0.05,OR=6.201)、胆囊壁厚度超过3 mm(P<0.05,OR=5.142)、急性炎症期(P<0.05,OR=6.033)、胆囊萎缩(P<0.05,OR=2.417)是单孔腹腔镜胆囊切除术手术时间延长的独立危险因素。结论:术前充分评估围手术期可能存在的危险因素有助于提高手术安全性。Objective:To investigate the influencing factors related to prolonged operation time of single incision laparoscopic cholecystectomy(SILC).Methods:The clinical data of 556 patients who underwent SILC from Apr.2018 to Jun.2021 were included to analyze the related influencing factors of prolonged operation time and the relationship between prolonged operation time and complications.The 13 factors were analyzed byχ^(2) test,t text and multivariate logistic regression.Results:There were statistically significant differences between the extended group and the unextended group in BMI,upper abdominal surgery history,acute inflammatory stage,gallbladder wall thickness over 3 mm,gallbladder atrophy and complications(P<0.05).Multivariate logistic regression analysis showed that BMI(P<0.05,OR=1.729),upper abdominal surgery history(P<0.05,OR=6.201),gallbladder wall thickness over 3 mm(P<0.05,OR=5.142),acute inflammatory stage(P<0.05,OR=6.033),gallbladder atrophy(P<0.05,OR=2.417)were independent risk factors of prolonged operative time for SILC.Conclusions:Preoperative full evaluation of perioperative risk factors can improve the safety of surgery.

关 键 词：胆囊切除术 腹腔镜 单孔 手术时间 危险因素 

分 类 号：R657.4[医药卫生—外科学]