经脐单孔腹腔镜胆囊切除术治疗胆囊炎的临床观察

目的探讨经脐单孔腹腔镜胆囊切除术治疗胆囊炎的疗效。方法对本院2003年3月至2010年9月收治的胆囊炎患者204例，均分为实验组和对照组，实验组采用经脐单孔腹腔镜胆囊切除术进行治疗，对照组采用常规腹腔镜手术治疗，对两组患者治疗效果（胆管和肠管损伤、手术时间、麻醉时间、术后住院时间和再手术率）和并发症等相关因素进行统计学分析。结果实验组患者在肠胆管损伤、出血量、抗生素应用时间、术后排气时间、进食时间和住院时间方面明显优于对照组（P〈0．05）。结论对胆囊炎患者采用经脐单孔腹腔镜胆囊切除术是安全可靠的，但在手术中要正确处理患者胆囊三角的结构，在术中对患者进行胆管造影，并对不适宜经脐单孔腹腔镜胆囊切除术手术的患者进行开腹手术以降低患者出现并发症的机会。

Objective To evaluate the clinical effect of treating cholangities with transumbilical single port laparoscopic cholecystectomy. Methods 204 patients of cholangities were divided into two groups, test group was treated with transumbilical single port laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy in control group, the therapeutic effects（ bowl or biliary injury, operative time, anesthesia time, postoperative study and re -operation rate） and complications were statistically compared. Resutis The test group was better in bowl or biliary injury rate, introperative blood loss, time for antibiotics treatment, time for passing gas postoperatively and eating and hospital stay （ P 〈 0.05 ）. Conclusions Transumbilical single port laparoscopic cholecystectomy is safe for patients with cholangities. Calot triangle should be carefully treated, intraoperative cholangiography should be performed in selective patients, conversion should be carried out in patients not suitable for transumbilical single port laparoscopic cholecystectomy.