无线便携式腔镜在胆总管切开取石术中的应用  

The application of wireless portable laparoscope in common bile duct incision and stone extraction surgery

作　　者：张鹏 李壮 王文飞 孙艳军[2] 孙登群[2] ZHANG Peng;LI Zhuang;WANG Wenfei;SUN Yanjun;SUN Dengqun(The First Clinical Medical of Anhui University of Chinese Medicine,Hefei 230038,China;Department of General Surgery,Anhui Provincial Corps Hospital of Chinese People's Armed Police Force,Hefei 230041,China)

机构地区：[1]安徽中医药大学第一临床医学院,合肥230038 [2]武警安徽省总队医院普外科,合肥230041

出　　处：《肝胆外科杂志》2024年第2期103-107,共5页Journal of Hepatobiliary Surgery

摘　　要：目的探究无线便携式腔镜在胆总管切开取石术中的应用效果。方法对2023年6月至11月期间78例在武警安徽总队医院普外科接受胆总管切开取石术的胆石症患者进行回顾性分析,根据术中所采用设备的差异,分为无线腔镜组和传统有线腔镜组,各39例。比较两组的围手术期指标、扶镜者疲劳度评分、血清肿瘤坏死因子(TNF-α)、白介素1β(IL-1β)和C反应蛋白(CRP)等。结果所有手术均成功完成,观察组和对照组在手术时间、失血量、手术难度评分、术后引流管留置时间、住院时间、术后并发症和患者疼痛视觉模拟量评分等均无显著差异(P>0.05),两组间术前准备时间和扶镜者疲劳度评分差异具有统计学意义(P<0.01)。两组治疗后血清TNF-α和IL-1β的水平无显著差异(P>0.05),但两组治疗后血清CRP的水平差异具有统计学意义(P<0.01)。结论无线腔镜较有线腹腔镜在手术效果等方面没有差异,但能缩短术前准备时间、减轻扶镜者疲劳度、减少线缆对术者的羁、提高手术操作便携性。其优化了手术效率,更有利于未来在野外环境进行手术救治。Purpose To explore the application effect of wireless portable laparoscopy in choledochotomy and stone removal surgery.Methods A retrospective analysis was conducted on 78 patients with cholelithiasis who underwent choledochotomy and stone removal surgery in the Department of General Surgery of the Anhui Provincial Corps Hospital of the Armed Police from June 2023 to No-vember 2023.According to the dfference in the equipment used during the operation,they were divided into a wireless laparoscopy group and a traditional wired laparoscopy group,with 39 cases in each group.The perioperative indicators,fatigue score of the scopist,serum tumor necrosis factor-alpha(TNF-α),interleukin-1β(IL-1β),and C-reactive protein(CRP)were compared between the two groups.Results All surgeries were successfully completed.There were no significant differences between the observation group and the control group in terms of operation time,blood loss,surgical dificulty score,postoperative drainage tube retention time,length of hospital stay,postoperative complications,and patient visual analog pain score(P>0.05).The dfferences in preoperative prepara-tion time and fatigue score of the scopist between the two groups were statistically significant(P<0.01).There was no significant difference in the levels of serum TNF-αand IL-1βbetween the two groups after treatment(P>0.05),while the difference in serum CRP levels after treatment between the two groups was statistically significant(P<0.01).Conclusion Wireless laparoscopy is not different from wired laparoscopy in terms of surgical outcomes,but it can shorten preoperative preparation time,reduce scopist fatigue,reduce the restraint of cables on the operator,and improve the portability of surgical operations.It optimizes surgical efficiency and is more conducive to surgical treatment in outdoor environments in the future.

关 键 词：无线腹腔镜 胆总管切开取石术 胆石症 临床应用 手术效果 

分 类 号：R657.4[医药卫生—外科学]