摘要
目的比较经脐单孔与三孔法腹腔镜胆囊切除术的疗效,探讨经脐单孔腹腔镜胆囊切除术(transumbilical single port laparoscopic cholecystectomy,TUSPLC)的可行性和有效性。方法回顾性分析上海市松江区泗泾医院普外科2020年3月至2021年11月接受TUSPLC的51例患者及传统三孔法腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的51例患者的临床资料。结果TUSPLC组手术时间显著长于传统三孔法LC组[(49.4±13.3)min vs(31.2±11.5)min,P=0.01];TUSPLC组增加操作孔的患者比例高于传统三孔法LC组(9.80%vs 1.96%,P=0.02)。TUSPLC组较传统三孔法LC组术后镇痛药物使用率更低(7.8%vs 33.3%,P=0.01),术后腹壁瘢痕满意度评分更高[(3.88±0.11)分vs(2.75±0.31)分,P=0.01]。TUSPLC组术中出血量、术后并发症及住院天数与传统三孔法LC组差异无统计学意义。结论与传统三孔法LC相比,TUSPLC创伤小、术后切口隐匿美观、患者满意程度高,更符合经自然腔道内镜手术(natural orifice transluminal endoscopic surgery,NOTES)理念,可在合适的患者中推广。
Objective To explore the feasibility and effectiveness of transumbilical single port laparoscopic cholecystectomy(TUSPLC)by comparison of single port and three-port laparoscopic cholecystectomy.Methods The clinical data of 51 patients underwent TUSPLC and 51 patients underwent three-port laparoscopic cholecystectomy(LC)in Sijing Hospital from March 2020 to November 2021 were analyzed retrospectively.Results The operation time in the TUSPLC group was significantly longer than that in the three-port LC group([49.4±13.3]min vs[31.2±11.5]min,P=0.01),and the rate of patients increasing puncturing port in the TUSPLC group was significantly higher than that in the three-port LC group(9.80%vs 1.96%,P=0.02).Compared with the three-port LC group,postoperative analgesics were used less frequently in the TUSPLC group(7.8%vs 33.3%,P=0.01),and the postoperative abdominal scar satisfaction score was higher(3.88±0.11 vs 2.75±0.31,P=0.01).There was no significant difference in operative blood loss,postoperative complications and hospital stay between the two groups.Conclusion Compared with the traditional three-port LC,TUSPLC has the advantage of less trauma and higher patient satisfaction,and more embodies the concept of natural orifice transluminal endoscopic surgery(NOTES)at the present stage.
作者
敖锋
赵中浩
古文华
罗雪涛
瞿秋耜
王殿秀
郑湘琼
AO Feng;ZHAO Zhong-hao;GU Wen-hua;LUO Xue-tao;QU Qiu-si;WANG Dian-xiu;ZHENG Xiang-qiong(Department of General Surgery,Songjiang Sijing Hospital,Shanghai 201600,China)
出处
《中国临床医学》
2022年第4期664-668,共5页
Chinese Journal of Clinical Medicine
关键词
胆囊切除术
腹腔镜
经脐
单孔
cholecystectomy
laparoscope
transumbilical
single port
