Objective To analyze the clinical advantages of the modified Trocar approach in laparo-scopic cholecystectomy(LC)compared to the conventional three-hole approach.Methods Clinical data of 202 patients undergoing the modified Trocar approach LC(the modified group)at the First Affiliated Hospi-tal of Wenzhou Medical University from January 2015 to September 2023 were retrospectively analyzed,including 84 males and 118 females patients,aged(49.58±13.03)years old.The conventional group enrolled 606 patients,including 245 males and 361 females,aged(50.99±12.55)years old.The opera-tive time,conversion to four-hole approach,postoperative complications,hospital stay,pain score,and satis-faction score were compared between the groups.Results No severe complications occurred in either group.In modified group,three cases(1.5％,3/202)required conversion to four-hole approach,while in conventional group,seven(1.2％,7/606)required conversion,with one case conversed to open surgery(P＞0.05).The operative time in modified and conventional groups were(40.28±13.51)min and(40.38±18.75)min,respectively(P＞0.05).The postoperative pain scores were 2.49±1.23 and 3.02±1.48,respectively(t=5.05,P＜0.001).The average postoperative hospital stays were(2.87±0.93)d and(3.80±1.31)d,respectively(t=11.05,P＜0.001).The postoperative Kiyak satisfaction scores were 4.31±0.66 and 4.15±0.63,respectively(t=2.93,P=0.004).Conclusion The safety of modi-fied Trocar approach is comparable to that of conventional three-hole approach.The modified approach showed a shorter postoperative hospital stay,less pain,better scars,and higher patient satisfaction.
CholecystectomyLaparoscopyModificationComparative effectiveness study
NETL
NSTL
万方数据
