摘要
目的:探讨经脐入路腹腔镜胆囊切除术(transunbilical laparoscopic cholecystectomy,TULC)的可行性及临床疗效。方法:回顾分析2011年1月至2012年5月为46例患者行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的临床资料,并将其分为TULC组与常规LC组,对比分析两组患者的治疗效果。结果:两组患者手术时间、术中出血量、住院时间及并发症发生率差异无统计学意义;在术后疼痛缓解及早期下床活动方面,TULC组具有明显优势,同时腹部无明显可见疤痕,美容效果满意。结论:经脐入路腹腔镜胆囊切除术安全易行,更具微创、美容优势,可成为常规LC的重要补充。
Objective:To investigate the feasibility and clinical outcome of laparoscopic cholecystectomy through the truansumbilical approach.Methods:The clinical data of 46 cases who underwent laparoscopic cholecystectomy(LC)between Jan.2011 and May 2012 were retrospectively analyzed.The patients were divided into routine LC group and transumbilical laparoscopic cholecystectomy group(TULC).The clinical effects of the two groups were comparatively analyzed.Results:There was no differencse in the operative time,blood loss,hospital stay and post-operative complication rate between the two surgical approaches.TULC has obvious advantages over LC in postoperative pain relief,early recovery and cosmetology.Conclusions:TULC is a safe and maneuverable surgical procedure and has advantages of minimally invasion and better cosmetic effect.It will be a supplement for LC in the near future.
出处
《腹腔镜外科杂志》
2012年第9期692-694,共3页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
经脐
临床效果
Cholecystectomy,laparoscopic; Transumbilical; Effect analysis