传统腹腔镜与一孔双视免气腹腔镜胆囊切除术的疗效对比研究

Clinical effect comparison of laparoscopic cholecystectomy and one-hole double-view pneumoperitoneum-free laparoscopic cholecystectomy

目的比较传统腹腔镜胆囊切除术(LC)与一孔双视免气腹腔镜胆囊切除术(ODPLC)治疗良性胆囊疾病的疗效。方法回顾性分析127例行胆囊切除术的良性胆囊疾病患者的临床资料,根据胆囊切除术手术方法分为LC组(67例),ODPLC组(60例)。对比、分析两组的手术时间、术中出血量、中转开腹率、术后住院时间、住院总费用、并发症等指标。结果两组患者术后均未发生胆管损伤、胆瘘、胆囊残株炎等并发症。ODPLC组的手术时间(23.6±3.4)min短于LC组(42.4±5.7)min,术后住院时间(2.40±1.38)d短于LC组(3.50±1.26)d,术中出血量(25.0±5.0)mL、中转开腹率(1.67%)、住院总费用(4065.0±415.3)元均低于LC组(48.0±26.0)mL、4.58%、(6840.7±562.4)元,差异具有统计学意义(P<0.05)。结论 ODPLC治疗良性胆囊疾病的总体疗效优于LC,并发症更少,患者恢复更快,花费更少。

Objective To compare the clinical effect of laparoscopic cholecystectomy （ LC ） and one-hole double-view pneumoperitoneum-free laparoscopic eholecystectomy （ ODPLC ）. Methods Clinical data of 127 cases with benign gallbladder disease operated by eholecysteetomy were analyzed retrospectively. Among them ,67 cases received LC and 60 cases received ODPLC. Operative time ,intraoperative blood loss, conversion rate, postoperative hospital stay, hospitalization cost and complications were compared between the two groups. Results The operative time was shorter in ODPLC group （ 23.6 ± 3.4 ） min than that in LC group（42.4 ± 5. 7 ） min. The intraoperative blood loss （ 25.0± 5.0 ） mL, conversion rate （ 1.67% ） , postoperative hospital staying（ 2.40 ± 1.38 ） d and hospitalization cost （4065.0 ± 415.3 ） ynan in ODPLC group was less than that in LC group（48.0 ± 26.0） mL,4.58% and （6840.7 ± 562.4 ）yuan. All diferences were statistically significant （ P 〈 0. 05 ）. No bile duct injury, bile leakage, and gallbladder stumps inflammation were observed in both groups. Conclusion The total effect of ODPLC was superior to LC. The complications of ODPLC was less than LC.