临床外科杂志 ›› 2019, Vol. 27 ›› Issue (2): 155-157.doi: 10.3969/j.issn.10056483.2019.02.022

• 论著 • 上一篇    下一篇

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

  

  1. 上海市奉贤区奉城医院外科
  • 出版日期:2019-02-20 发布日期:2019-02-20

The comparative analysis of transumbilical laparoscopic cholecystectomy combined with endoscopic cholecystectomy

  • Online:2019-02-20 Published:2019-02-20

摘要: 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。

关键词: 经脐单孔腹腔镜手术, 腔镜胆囊切除术, 胆囊结石, 胆囊息肉(腺瘤), 安全性

Abstract: 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 3dVAS 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 3dVAS 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.

Key words: transumbilical laparoendoscopic singlesite surgery, endoscopic cholecystectomy, gallstone, gallbladder polyps, safety

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