在肝胆外科疾病治疗中应用经脐单孔腹腔镜技术的效果及手术时间分析

Analysis of the Effect of Applying Transumbilical Single-port Laparoscopic Technique in the Treatment of Hepatobiliary Surgery Diseases and the Operative Time

目的探究肝胆外科疾病患者于治疗期间应用经脐单孔腹腔镜技术的临床效果并评估对患者手术时间的影响。方法便利选取2020年1月—2021年12月泉州市第一医院肝胆外科收治的65例肝胆外科疾病患者为研究对象,采取随机数表法将其划分为对照组(n=33)和观察组(n=32)。给予对照组患者三孔腹腔镜手术治疗,观察组患者则应用经脐单孔腹腔镜技术治疗。对比两组患者手术指标、肝功能水平、VAS评分、并发症发生率以及炎症因子水平。结果治疗前,两组ALT、AST、TBIL指标对比,差异无统计学意义(P>0.05);治疗后,两组肝功能水平均有所改善,观察组改善效果明显优于对照组,差异有统计学意义(P<0.05)。治疗前,两组炎症因子水平对比,差异无统计学意义(P>0.05);治疗后,两组炎症因子水平均低于治疗前,且观察组降低幅度大于对照组,差异有统计学意义(P<0.05)。治疗后,观察组并发症总发生率明显低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组手术时间、术中出血量、胃肠功能恢复时间以及住院时间均优于对照组,差异有统计学意义(P<0.05)。治疗前,两组疼痛评分对比,差异无统计学意义(P>0.05);治疗后,观察组疼痛评分低于对照组,差异有统计学意义(P<0.05)。结论肝胆外科疾病患者于治疗期间应用经脐单孔腹腔镜技术对于减轻患者疼痛程度以及改善肝肾功能具有积极意义,有利于提升整体手术治疗效果,降低了并发症发生风险。

Objective Exploring the clinical efficacy of using transumbilical single port laparoscopic technology during treatment for patients with liver and gallbladder surgical diseases and evaluating its impact on surgical time.Methods 65 patients with liver and gallbladder surgical diseases admitted to the Department of Hepatobiliary Surgery at Quanzhou First Hospital from January 2020 to December 2021 were conveniently selected as the study subjects.They were randomly divided into a control group(n=33)and an observation group(n=32)using a random number table method.The control group patients were treated with three hole laparoscopic surgery,while the observation group patients were treated with single hole laparoscopic technique through the umbilical cord.Compare the surgical indicators,liver function levels,VAS scores,incidence of complications,and levels of inflammatory factors between the two groups of patients.Results Before treatment,there was no statistically significant difference in the values of ALT,AST,TBIL between the two groups(P>0.05);after treatment,the liver function levels of both groups improved,and the improvement effect of the observation group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the levels of inflammatory factors between the two groups(P>0.05);after treatment,the levels of inflammatory factors in both groups of patients were lower than before treatment,and the decrease in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the total incidence of complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).After treatment,The observation group had better surgical time,intraoperative bleeding,gastrointestinal function recovery time,and hospital stay than the control group and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in pain scores between the two groups(P>0.05);after treatment,the pain score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of transumbilical single port laparoscopic technology during the treatment period for patients with liver and gallbladder surgical diseases has a positive significance in reducing patient pain and improving liver and kidney function,which is beneficial for improving the overall surgical treatment effect and reducing the risk of complications.