经脐单孔腹腔镜胆囊切除术与传统腹腔镜胆囊切除术的临床疗效比较

目的对比经脐单孔与传统腹腔镜胆囊切除术的临床效果。方法：收集来我科就诊的临床诊断为胆囊疾病的患者180例，采用随机数字表法将其分为观察组与对照组各90例，观察组采用经脐单孔腹腔镜胆囊切除术，对照组采用传统腹腔镜胆囊切除术。结果：观察组手术时间长于对照组，住院时间和总费用均低于对照组，统计学差异显著（P〈0．05）；观察组的总满意率为96．7％，总并发症发生率为4．4％，对照组的总满意率为77．8％，总并发症发生率为14．4％，差异具有统计学意义（P〈0．05）。结论：经脐单孔腹腔镜胆囊切除术安全可行，更具美观优势，且并发症发生率低，推荐在临床上应用。

ObjectiveTo compare the clinical effect of umbilical single-port laparoscopic and conventional laparoscopic cholecystectomy. Methods： 180 cases whowere clinical diagnosed with gallbladder diseases were collected from our department, then divided into observation group and control group by using random num-ber table method, the observation group was treated with umbilical single-port laparoscopic cholecystectomy, and the control group was treated with conventionallaparoseopic cholecystectomy.Results： The operation time in the observation group was longer than the control group, the length of hospital stay and total hospital-ization expenses were lower than the control group, the differences were significant （p〈0.05）; the total satisfactory rate in the observation group was 4.4%, the totalcomplication rate was 96.7%, while the total satisfactory rate in the control group was 77.8%, the total complication rate was 14.4%, the difference were statisti-cally significant （P〈0.05）. Conclusion： Umbilical single-port laparoseopie choleeysteetomy is a safe and practical operational approach, more attractive advantages,therefore it can be recommended in clinical application.