摘要
目的:对比脐缘三孔与传统三孔法腹腔镜胆囊切除术的临床疗效及可行性。方法:将96例胆囊结石合并胆囊炎择期手术的患者随机分为两组,采用普通腹腔镜手术器械分别行脐缘三孔与传统三孔法腹腔镜胆囊切除术,对比两组手术时间、并发症、术后切口疼痛程度、住院时间、美容效果及患者满意度。结果:脐缘三孔组2例因严重粘连、胆囊三角区显露困难改为传统三孔法完成,两组均无中转开腹,术后均无严重并发症发生。与传统三孔组相比,脐缘三孔组手术时间长、术后切口疼痛程度轻、住院时间短、切口美容效果更好,且患者满意度更高(P<0.05)。结论:脐缘三孔法腹腔镜胆囊切除术虽较传统三孔腹腔镜胆囊切除术手术时间稍长,但术后切口疼痛程度轻、住院时间短、美容效果好、患者满意度高,可为患者带来更大的受益。
Objective：To compare the clinical efficacy and feasibility of three-port transumbilical laparoscopic cholecystectomy and three-port conventional laparoscopic cholecystectomy. Methods：Ninety-six elective patients with cholecystolithiasis and cholecystitis were randomly divided into two groups,three-port transumbilical laparoscopic cholecysteetomy and three-port conventional laparoscopic cholecystectomy were performed using conventional laparoscopic instruments. Operative time, complications, postoperative wound pain, hospital stay, cosmetic effect, and patients＇ satisfaction were compared between the 2 groups. Results：The surgical approaches for two patients with serious adhesions in the three-port transumbilical laparoscopic cholecystectomy group were altered to three-port conventional laparoscopic cholecysteetomy, since they had difficulty in exposing gallbladder triangle. There was no conversion to laparotomy, no serious postoperative complications occurred in the two groups. The mean time of the three-port transumbilical laparoscopic cbolecystectomy was slightly longer than the control group, the difference was statistically significant （ P 〈 0. 05 ）. However, the more noticeably alleviated postoperative incision pain and shorter hospital stay in the three-port transumbilical laparoscopic cholecystectomy group were achieved, comparing with the conventional group （P 〈 0. 05 ）. The optimal cosmetic effects and patients＇ satisfaction were shown in the three-port transumbilical laparoscopic cholecystectomy group in comparison with the conventional group （ P 〈 0. 05 ）. Conclusions ： The mean time of the three-port transumbilical laparoscopic cholecystectomy is slightly longer than that of the three-port conventional laparoscopic cholecystectomy, whereas the lighter postoperative wound pain, shorter hospital stay, superior cosmetic effects, and higher satisfaction of patient are more beneficial for patients. Therefore, it can be concluded that three-port transumbilical laparoscopic chol
出处
《腹腔镜外科杂志》
2015年第12期934-936,共3页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
经脐
疗效比较研究
Cholecystectomy, laparoscopic
Transumbilicus
Comparative effectiveness research
