常规腹腔镜器械经脐单孔法阑尾切除术与三孔法的对照观察

Comparison of laparoscopic transumbilicai single-port appendectomy with conventionalinstrumentation versus three-port appendectomy

对2009年5月至2012年2月诊治的60例阑尾炎患者分别行单孔、三孔腹腔镜阑尾切除术（各30例）。与三孔组相比，单孔组手术时间明显延长；住院天数、疼痛评分、应用止痛药和术后并发症，两组差异均无统计学意义（P〉0．05）。单孔组脐部切口瘢痕不明显。提示应用常规腹腔镜器械行单孔经脐阑尾切除术，安全、可行，美容效果明显。

Between May 2009 and February 2012, 60 patients scheduled for laparoscopic appendectomy were randomly assigned to receive either transumbilical single-port laparoscopic appendectomy （TUSPLA） or three-port laparoscopic appendectomy （TPLA）. The operative duration was significantly longer in TUSPLA than TPLA cases. No statistically significant differences existed in hospital stay, visual analog scale （VAS） score, analgesia requirement or complication rate. The abdominal scar was inconspicuous for TUSPLA. It suggested that TUSPLA with conventional instrumentation is technically feasible and safe with scarless healing.