经脐单孔腹腔镜胆囊切除术与传统腔镜胆囊切除术的比较分析

The comparative analysis of transumbilical laparoscopic cholecystectomy combined with endoscopic cholecystectomy

目的分析经脐单孔腹腔镜胆囊切除术(TU-LESS)的优势、预后状况及安全性。方法良性胆囊疾病病人100例,按手术方式不同分为A组和B组,每组各50例,A组应用TU-LESS进行治疗,B组应用传统腹腔镜进行治疗。评估两组手术状况,术后3天VAS评分、术后腹壁美观效果及住院费用。结果 A组切口大小、术中出血量、术后排气时间、住院时间、术后并发症总发生率、3天后VAS评分和住院费用均低于B组,差异有统计学意义(P <0. 05)。A组术后腹壁美容满意度评分高于B组,差异有统计学意义(P <0. 05)。结论与传统腔镜胆囊切除术比较,TU-LESS操作具有对病人损伤较小、术后并发症降低、恢复快、腹壁美容度更高等特点。

Objective To analyze the clinical advantages,prognosis and safety of transurethral single-hole laparoscopic cholecystectomy( TU-LESS) compared with the traditional endoscopic cholecystectomy. Methods 100 patients with benign gallbladder disease were selected in our hospital. According to different surgical methods they were divided into two group,50 cases in each group. Group A treated with TU-LESS,group B used of traditional laparoscopic treatment. The surgical status,postoperative 3 dVAS score,postoperative abdominal aesthetics and hospitalization were evaluated. Results The average size of incision,blood loss,postoperative exhaust time,hospital stay time,postoperative complications rate,postoperative 3 dVAS score and hospitalization costof group A were lower than group B,the difference was statistically significant( P < 0. 05). The postoperative aesthetic satisfaction score of abdominal wall in group A was higher than that of group,the difference was statistically significant( P < 0. 05). Conclusion Compared with the traditional endoscopic cholecystectomy,TU-LESS operation has characterized of less damage to the patient,reduce postoperative complications,rapid recovery,with higher degree of cosmetic abdominal wall.