经脐纵切口行单孔腹腔镜胆囊切除术治疗胆囊结石的临床效果
Clinical effect of umbilical longitudinal incision in single port laparoscopic cholecystectomy for the treatment of cholecystolithiasis
胥龙龙 1李富荣1
作者信息
- 1. 天水四零七医院肝胆(微创)外科,甘肃 天水,741000
- 折叠
摘要
目的:探讨经脐纵切口行单孔腹腔镜胆囊切除术(LC)治疗胆囊结石的临床效果.方法:回顾分析 2023 年 8 月至2024 年2 月收治的95 例胆囊结石患者的临床资料,按治疗方法分为单孔组(n=51)与三孔组(n=44),单孔组经脐纵切口行单孔LC,三孔组行三孔法LC;对比分析两组手术时间、术中出血量、术后6h疼痛评分、术后住院时间、切口满意度、切口感染率及住院费用.结果:单孔组中1 例患者因炎症较重、胆囊颈部结石改行两孔法LC,余50 例均完成单孔手术.单孔组术后6h疼痛评分低于三孔组,术后住院时间短于三孔组,切口满意度高于三孔组,手术时间长于三孔组,住院费用高于三孔组,差异有统计学意义;两组性别、年龄、术中出血量、切口感染率差异无统计学意义.结论:经脐纵切口行单孔LC安全、可靠,术后切口隐蔽、美观,疼痛轻,康复快,住院时间短,具备一定腹腔镜外科经验的医生经过专业训练可独立完成,值得在临床推广应用.
Abstract
Objective:To evaluate the clinical outcomes of single-incision laparoscopic cholecystectomy(SILC)via a transum-bilical longitudinal incision in the treatment of cholecystolithiasis.Methods:A retrospective analysis was conducted on clinical data of 95 patients with gallbladder stones treated between Aug.2023 and Feb.2024.Patients were divided into the single-incision group(n=51)and the three-port group(n=44)according to treatment method.The single-incision group underwent SILC via a transumbilical longitudinal incision,while the three-port group received conventional three-port laparoscopic cholecystectomy.The two groups were compared in terms of operative time,intraoperative blood loss,postoperative pain scores at 6 h,postoperative hospital stay,incision satis-faction,incidence of incision infections,and hospitalization costs.Results:In the single-incision group,one case was converted to two-port laparoscopic cholecystectomy due to severe inflammation and impacted stones in the gallbladder neck.The remaining 50 cases were successfully completed using the single-incision technique.The single-incision group demonstrated significantly lower postoperative pain scores at 6 h(P=0.015),shorter hospital stay,and higher incision satisfaction compared to the three-port group.However,the opera-tive time was longer,and hospitalization costs were higher in the single-incision group,with statistically significant differences.There were no significant differences between the two groups in terms of gender,age,intraoperative blood loss,or incision infection rate.Con-clusions:SILC via a transumbilical longitudinal incision is a safe and reliable procedure.It offers advantages such as concealed and aes-thetic incisions,reduced postoperative pain,faster recovery,and shorter hospital stay.After specialized training,surgeons with laparo-scopic experience can independently perform this technique,making it a valuable option for clinical promotion.
关键词
胆囊切除术,腹腔镜/经脐/单切口/三孔法Key words
Cholecystectomy,laparoscopic/Transumbilicus/Single-incision/Three-port method引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据