单孔腹腔镜袖状胃切除术与传统腹腔镜袖状胃切除术的对比研究

A comparative study of single-incision laparoscopic sleeve gastrectomy and traditional laparoscopic sleeve gastrectomy

目的探讨单孔腹腔镜袖状胃切除术的安全性、可行性及优越性。方法 2018年1月~2019年4月完成的袖状胃切除手术病例56例,根据手术方法分为两组,单孔组28例,采用单孔腹腔镜袖状胃切除手术,传统组28例,采用传统腹腔镜袖状胃切除手术,比较两组手术结果及术后随访结局。结果单孔组、传统组手术时间分别为(156.7±13.2)分钟和(113.4±11.7)分钟,住院时间分别为(4.80±0.69)天和(5.30±0.64)天,术后疼痛评分分别为(3.5±0.5)分和(4.8±0.6)分,美容满意度分别为(4.5±0.6)和(4.0±0.7),两组比较差异均有统计学意义(P<0.05)。两组术后并发症、术后12个月多余体重减少和合并症缓解方面比较,差异均无统计学意义(均P>0.05)。结论单孔腹腔镜袖状胃切除术安全、有效、可行,美容满意度方面更具有优势。

Objective To explore the safety,feasibility and superiority of single-incision laparoscopic sleeve gastrectomy.Methods A retrospective analysis of 56 cases of sleeve gastrectomy completed in our department from January 2018 to April 2019 was made,including 28 cases of single-incision laparoscopic sleeve gastrectomy(single-incision group) and 28 cases of traditional laparoscopic sleeve gastrectomy(traditional group).The differences in operation results and follow-up results between the two groups were compared.Results The operation time of the single hole group was significantly longer than that of the traditional group[(156.7±13.2)min vs.(113.4±11.7)min,P<0.05],the hospitalization time was significantly shorter than that of the traditional group[(4.80±0.69)d vs.(5.30±0.64)d,P<0.05],and the scores of postoperative pain[(3.5±0.5) vs(4.8±0.6),P<0.05] and beauty satisfaction[(4.5±0.6) vs(4.0±0.7),P<0.05] were better than that of the traditional group.However,there was no statistical difference in the incidence of postoperative complications,excess weight loss and the remission of co-morbidities after 12 months between the two groups(P>0.05).Conclusion Single-incision laparoscopic sleeve gastrectomy is safe,effective and feasible,and has more advantages in cosmetic results.