摘要
目的比较经脐气腹单孔腹腔镜胆囊切除术(TSLC)与传统腹腔镜胆囊切除术(LC)的临床疗效和安全性。方法回顾性分析接受TSLC手术的患者21例以及同一时期接受LC治疗的18例患者,比较两组患者在手术时间、术中出血量、术后恢复排气时间以及并发症之间的差异。结果 TSLC组21例患者成功完成手术,手术时间为(94.62±16.57)min,出血量为(20.48±10.71)ml,术后恢复肛门排气时间为(29.29±6.44)h;而LC组患者的手术时间为(63.89±7.19)min,出血量为(21.94±13.52)ml,术后恢复肛门排气时间为(28.78±6.12)h,两组患者术后随访半年,无相关并发症发生。TSLC组的手术时间长于LC组,差异有统计学意义(t=7.29,P<0.05);其余指标比较,差异无统计学意义(t分别=0.37、0.25,P均>0.05)。结论 TSLC具有与LC相同的安全性,但所需手术时间较长,对器械和技术要求较高。
Objective To analyze the clinical effect and safety of transumbilical single -port laparoscopic cholecystectomy （TSLC） and laparoscopic cholecystectomy （LC）. Methods A total of 21 TSLC and 18 LC patients were retrospectively analyzed. The operation time, intraoperative blood loss, exsufflation time and the complication between two groups were compared. Results Operations in all patients were successfully. The operation time, intraoperative blood soss, exsufflation time in TSLC were （94.62±16.57）min,（20.48±10.71）ml,（29.29±6.44）hours; and in LC groups were （63.89±7.19）min,（21.94±13.52）ml,（28.78±6.12）hours respectively. The differences of operation time between two groups had statistical significance （t=7.29,P〈0.05）, the rest items had no statistical significance （t=0.37,0.25,P〉0.05）. No complications were found in two groups during operation and in the following 6 months. Conclusion TSLC is safe as LC, but need more operation time, and also have higher requirements for equipment and technology.
出处
《全科医学临床与教育》
2014年第1期39-40,46,共3页
Clinical Education of General Practice
关键词
经脐单孔腹腔镜胆囊切除术
腹腔镜胆囊切除术
transumbilical single-port laparoscopic cholecystectomy
laparoscopic cholecystectomy
