经脐单孔腹腔镜手术治疗急性胆囊炎效果观察

Efficacy of transumbilical single port laparoscopic surgery in the treatment of acute cholecystitis

目的分析经脐单孔腹腔镜手术治疗急性胆囊炎的临床效果。方法选取经脐单孔腹腔镜胆囊切除手术患者56例为观察组;按照年龄、性别、体重指数、胆囊萎缩情况一对一选择同期三孔腹腔镜治疗急性胆囊炎患者56例纳入对照组。对比手术、康复情况及并发症发生情况。结果观察组患者手术时间长于对照组(P<0.01),术中出血量少于对照组(P<0.01),术后排气时间及住院时间均短于对照组(P<0.01);观察组患者发热、疼痛发生率均低于对照组(P<0.05)。结论采用经脐单孔腹腔镜手术治疗急性胆囊炎效果显著,手术时间虽长,但术中出血少,住院时间短,并可降低并发症发生风险,微创优势更为明显。

Objective To investigate the clinical effect of trans-umbilical single-hole laparoscopic surgery on acute cholecystitis.Methods A total of fifty-six patients with transumbilical single-orifice laparoscopic cholecystectomy were selected as the observation group.Fifty-six patients with acute cholecystitis treated by three-hole laparoscopy were selected according to the matching principle,as follows their age,gender,body mass index and gallbladder atrophy,and were included in the control group.In order to assess the value of a umbilical single-incision laparoscopic operation,surgical parameters,postoperative recovery and complications were compared between the two groups.Results The operation time of the observation group was longer than that of the control group(P<0.01),Intraoperative blood loss,postoperative exhaust time and hospital stays of the observation group significantly shortened compared with those of the control group(P<0.01).The incidences of fever and pain in the observation group were lower than that in the control group(P<0.05).Conclusion Transumbilical single-port laparoscopic surgery for acute cholecystitis has a significant effect.Although the operation time is long,less intraoperative bleeding,shorter hospital stay, and the risk of complications can be reduced.Minimally invasive advantage is more obvious.