经脐单孔和常规腹腔镜阑尾切除术切口并发症对比研究

Comparative study on incisional complications between transumbilical single incision laparoscopic appendectomy and conventional laparoscopic appendectomy

目的比较经脐单孔腹腔镜阑尾切除术(TUSILA)和常规腹腔镜阑尾切除术(CLA)切口并发症的差异。方法回顾分析2011年1月至2014年12月该院普外科施行的TUSILA共312例(经脐单孔组)和CLA共346例(常规组)切口并发症情况。观察两组切口并发症总发生率、切口感染率和切口疝发生率。结果经脐单孔组和常规组切口并发症发生率、切口感染率和切口疝发生率比较,差异无统计学意义(P>0.05)。单因素分析显示切口感染与高BMI、合并2型糖尿病和引流管留置等相关,Spearman相关分析显示切口疝与切口感染显著相关(r=0.82,P<0.05)。结论与CLA相比,TUSILA并不增加切口并发症发生率。

Objective To compare the difference in incisional complications between transumbilical single insicion laparoscopic appendectomy（TUSILA） and conventional laparoscopic appendectomy（CLA）. Methods The incisional complications in 312 cases of TUSILA and 346 cases of CLA in the general surgery department of this hospital from January 2011 to December 29014 were retrospectively analyzed. The total occurrence rate of incision complications, incision infection rate and incision hernia occurrence rate were observed in the two groups. Results The incision complications occurrence rate,incision infection rate and incision hernia occurrence rate had no statistical difference between the TUSILA group and CLA group（P〉0. 05）. The univariate analysis showed that the incision infection was correlated with high BMI, complicating type 2 diabetes mellitus（T2DM） and indwelling drainage tube;the Spearman correlation analysis indicated that incision hernia was closely correlated with the incision infection（r= 0. 82,P〈0.05）. Conclusion Compared with CLA,TUSILA does not increase the incision complications occurrence rate.