经脐单孔腹腔镜胆囊切除术与传统腹腔镜胆囊切除术的疗效比较

目的探讨经脐单孔法腹腔镜胆囊切除术的安全性、可行性。方法随机将80例需行腹腔镜胆囊切除患者分为经脐单孔组和传统三孔法组各40例，比较两组手术中转率、手术时间、术中出血、术后切口疼痛、术后并发症、术后下床活动时间、肠功能恢复时间、术后住院时间。结果与传统三孔法相比，经脐单孔组除手术时间长外，其他临床观察指标两组间差异均无统计学意义（P〈0．05）。经脐单孔组术后患者对腹部无可视疤痕满意。结论经脐单孔法腹腔镜胆囊切除术是安全可行的，患者对无可视疤痕满意，有推广价值。

Comparison of efficacy and safety between transumbilical sing-port laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy

Objective To compare the efficacy and safety between transumbilical single-port laparoscopic cholecystectomy and conventional laparoscopic cholesystectomy. Methods Eighty patients were randomly assigned to receive transumbilical single-port laparoscopic cholecystectomy （ single-port group） or conventional laparoscopic cholesystectomy （ three-port group） with 40 in each. Surgery transfer rate, operation time, blood loss, incision pain, complications, postoperative ambulation, recovery time of intestinal function and postoperative hospital stay were compared between the two groups. Results There were no differences in all clinical parameters, except a longer surgery-time in single-port group, between two groups. The patients in single-port groups were satisfied for invisible abdominal scar. Conclusion Transumbilical single-port laparoscopic cholecystectomy is an effective, safe and feasible surgical rnodality with satisfactory invisible abdominal scar.