Efficacy of Transumbilical Single-Incision Laparoscopic Surgery via Different Access Portals in the Treatment of Non-Traumatic Acute Abdomen
Objective:To investigate the efficacy of transumbilical single-incision laparoscopic surgery(SILS)via different access portals in treating non-traumatic acute abdomen.Methods:Eighty-seven pa-tients with non-traumatic acute abdomen admitted to our hospital were randomly divided into two groups using a random number table;both groups received preoperative preparations,with the control group(43 cases)un-dergoing conventional laparoscopic surgery and the transumbilical group(44 cases)receiving transumbilical SILS.Parameters related to surgery,serum cytokine levels,pain intensity,quality of life recovery,and compli-cation rates were observed in both groups.Results:There was no statistically significant difference in operative time or intraoperative blood loss between the two groups(P>0.05).However,the transumbilical group had shorter times to first flatus,oral intake resumption,mobilization,and hospital stay compared to the control group(P<0.05).Postoperatively,TNF-α,IL-6,and hs-CRP levels were lower in the transumbilical group than in the control group(P<0.05).Visual Analog Scale(VAS)scores decreased on postoperative days 1,2,and 3 for both groups,with the transumbilical group reporting less pain(P<0.05).The compl-ication rate was lower in the transumbilical group(4.54%)compared to the control group(20.92%,P<0.05).Conclusion:Transumbilical SILS for non-traumatic acute abdomen improves surgical outcomes,re-duces inflammatory responses,alleviates pain,and decreases the incidence of complications.
Different Access PortalsTransumbilical Single-Incision Laparoscopic SurgeryNon-Traumatic Acute AbdomenSerum Cytokines
万方数据
维普
