单孔与三孔腹腔镜胆囊切除术临床对比研究

Clinical contrast research of one-hole and three-holes laparoscopic cholecystectomy

目的:探讨单孔法腹腔镜胆囊切除术(LC)的安全性、可行性及临床价值。方法:将60例胆囊疾病患者随机分为单孔组和三孔组,每组各30例,比较两组手术时间、术中出血、术后并发症、手术方式更改率、镇痛药应用、肠功能恢复时间、住院时间及住院费用。结果:与三孔组相比,单孔组手术时间明显延长,手术方式更改率增加。两组镇痛药应用、术中出血、术后并发症、肠功能恢复时间、住院费用及住院时间等方面差异均无统计学意义(P>0.05),随访1～3个月,无腹痛等不适症状,单孔组腹壁无可见手术瘢痕。结论:单孔与三孔LC相比,具有微创及美容等优势,选择合适的病例,相同腹腔镜器械下开展单孔LC手术是安全、有效及可行的。

Objective：To investigate the security,feasibility and clinical value of one-hole laparoscopic cholecystectomy（LC）.Methods：Sixty cases with cholecystic diseases were randomly divided into one-hole LC group（30 cases） and three-hole LC group（30 cases）.Operative time,blood loss,postoperative complications,the change rates of surgical procedure,analgesic applications,intestinal function recovery time,hospital stay and hospital costs were compared.Results：There were no significant differences between one-hole LC and three-hole among these above indexes（P0.05）.Conclusion：Compared with three-hole LC,one-hole LC had the lighter pain,better cosmetic results and other advantages.One-hole LC can carry out safely and effectively with selected appropriate cases and conventional laparoscopic instruments.It is worthy of clinic application.