经脐单孔腹腔镜技术在上消化道穿孔修补术中的应用效果评价

TRANSUMBILICAL SINGLE-INCISION LAPAROSCOPIC SURGERY FOR REPAIR OF PERFORATION EFFECT EVALUATION IN UPPER DIGESTIVE TRACT PERFORATION

目的探讨经脐单孔腹腔镜上消化道穿孔修补术的临床应用价值。方法回顾分析50例经脐单孔腹腔镜上消化道穿孔修补术与50例传统腹腔镜下上消化道穿孔修补术临床资料,对比分析2组手术时间、气腹时间、术后肠蠕动恢复时间、住院时间、术中出血量、术后应用镇痛药物情况、切口感染及术后随访情况。结果经脐单孔腹腔镜组在手术时间、气腹时间、术中出血量、术后肠蠕动恢复时间、应用镇痛药物均少于对照组(P<0.01),而2组切口感染率、住院时间差异无统计学意义。结论经脐单孔腹腔镜上消化道穿孔修补术安全可靠,值得在临床推广应用。

Objective To investigate the clinic application of transumbilical single-incision laparoscopic surgery in treatment of upper digestive tract perforation. Methods By reviewing and analyzing the clinic data of transumbilical single-incision laparoscopic（ 50 cases ） and traditional laparoscopic（ 50 case ）,the operation time,pneumoperitoneum time,postoperative intestinal peristalsis recovery time,hospitalization time,intraoperative bleeding volume,postoperative analgesia,wound infection rate,and postoperative follow-up survey of two groups were compared. Results The observation group was better in the aspects of operation time,pneumoperitoneum time,bleeding volume,recovery time of intestinal peristalsis,application of analgesic drugs than the control group（P〈0. 01）,but the wound infection rate,hospitalization time showed no significant difference between two groups. Conclusion Transumbilical single-incision laparoscopic surgery in the upper digestive tract perforation repair is safe and feasible. It is worthy of clinical promotion and application.