经脐单孔腹腔镜下保胆取石术的临床研究

Clinical research of transumbilical single site laparoscopic gallbladder-preserved cholelithotomy

目的:探讨经脐单孔腹腔镜保胆取石术临床应用的可行性及价值。方法:回顾性分析30例施行单孔腹腔镜下保胆取石手术(观察组)患者的临床资料并与同期开展的30例常规腹腔镜保胆手术(对照组)进行对比分析。结果:两组手术均顺利完成无中转开腹情况。两组术后住院时间、术中出血量、胆汁漏、术后胆囊内出血,胆囊功能减退、切口感染、结石残留、结石复发等指标对比分析,差异无统计学意义(P>0.05)。在手术时间及住院费用上观察组多于对照组(P<0.05)。结论:单孔腹腔镜保胆取石术可行、安全、微创,患者近期效果好,但需进一步的临床对比研究及远期观察。

Objective： To explore the clinical feasibility and value of gallbladder-preserved cholelithotomy with transumbilical single site laparoscopic. Methodsz 30 cases data of gallblad- der-preserved cholelithotomy with transumbitical single site laparoscopic （.observation group） and the 30 cases data of gallbladder-preserved with Conventional laparoscopic surgery （control group） which collected from June 2010 to January 2013 had been analyzed retrospectively. Results： The patients in two groups had been operated successfully rather than being transited into open surgery.Compared with two groups, these were no significant difference in postoperative hospitalization time, blood loss, bite leakage, gallbladder hemorrhage, gallbladder dysfunction, wound infection, postoperative residual stones and stone recurrenceP〉 0.05）. The observation group are higher than that of the control group in operative time and hospital costs P〈 0.05）. Coclusion： The gallblad- der-preserved cholelithotomy in transumbilical single site laparoscopic is feasible, safe, minimally invasive, operation, and the short-term effect of postoperative worthy of clinical application, but it needs further clinical comparison study and forward observation