经脐单孔与传统腹腔镜胆囊切除术的比较研究

目的分析经脐单孔与传统腹腔镜胆囊切除术的疗效和安全性。方法对2010年1月—2012年11月10月间收治的57例慢性胆囊炎伴有息肉样病变或胆囊结石患者,分别采用经脐单孔腹腔镜胆囊切除术(观察组,n=28)或传统腹腔镜胆囊切除术(对照组,n=29),对比分析两组患者临床资料。结果观察组患者的取胆囊时间、疼痛度、疼痛时间、镇痛药应用和满意度都显著地优于对照组患者,但是观察组患者的手术时间显著地大于对照患者,两组患者的出血量、术后进食时间、术后下床活动时间、住院时间和并发症无显著地差异。结论经脐单孔腹腔镜胆囊切除术,治疗效果和安全性与传统腹腔镜胆囊切除术相当,并且具有术后切口疼痛轻,更好地隐蔽性和腹壁美容效果更好等优点。

Comparison between transumbilical single-incision laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy

Objective To analyze the curative effect and safety of single-incision laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy.Methods We analyzed retrospectively the clinical data of the transumbilical single-incision laparoscopic cholecystectomy（observation group,n = 28） or the conventional laparoscopic cholecystectomy（control group,n = 29） for treatment of 57 patients with chronic cholecystitis polypoid lesions or gallbladder stone in Tongling People’s Hospital from January 2010 to November 2010.Results The time for taking the gallbladder,degree of pain,pain time,pain relievers used,and satisfaction in the observation group were significantly better than those in the control group.However,the operation time in the observation group was significantly higher than that in the control group.There were no significant differences in blood loss,postoperative eating time,bed activity time,length of hospital stay,and postoperative complications.Conclusions Transumbilical single-incision laparoscopic cholecystectomy not only shows the advantages of conventional laparoscopic cholecystectomy,but also has a better cosmetic results and less invasion than the conventional one.