单孔腹腔镜脾切除术与传统腹腔镜脾切除术的对照研究

Comparative study of single-port laparoscopic splenectomy with conventional laparoscopic splenectomy surgery

目的讨论单孔腹腔镜在临床脾切除术中的应用效果。方法将该院2年来开展的6例单孔腹腔镜脾切除术的患者资料与传统21例多孔腹腔镜手术的患者资料进行总结分析,对比患者术中出血量、中转开腹率、手术时间、住院时间、术后恢复流质时间、患者术后疼痛及术中术后产生的并发症等情况,通过SPSS 17.0进行统计处理分析。结果通过开展单孔手术,患者在术中出血量、手术时间、住院时间以及术后恢复流质时间均未见明显增加,患者的不适疼痛感明显减轻,差异有显著性。结论单孔腹腔镜脾切除术,与多孔手术相比,更安全、有效并且术后疼痛更轻,美容效果好等优点,具有一定的可行性。

[Objective] To discuss the clinical application of the single-port laparoscopic splenectomy. [Methods] Six cases of single-port laparoscopic splenectomy patients and 21 cases of porous laparoscopic surgery patients data in 2 years were selected and compared in terms of blood loss, rate of conversion to open surgery, operative time, hospital time, postoperative recovery liquid, postoperative pain, intraoperative and postoperative complications. SPSS 17.0 statistical processing and analysis was used . [Results] There was no significant increase in the intraoperative blood loss, operative time, in hospital and postoperative recovery liquid time through the singlehole surgery, significantly reduced patient discomfort pain, which had a statistically significant difference. [Conclusion] Compared with the porous surgery, single-port laparoscopic splenectomy surgery has a safe, effective and less postoperative pain, good cosmetic results, etc.