目的:回顾性比较分析经脐单孔与同期多孔法腹腔镜阑尾切除术患者的临床资料,探讨前者的安全性和可行性.方法:收集2009年1月-2011年5月行腹腔镜阑尾切除术患者53例.其中,单孔法组32例,三孔法组2 1例.对两组围手术期资料进行比较分析.结果:全部患者均顺利完成腹腔镜阑尾切除.两组患者在平均手术时间(P=0.358)和术中出血量(P=0.595)方面的比较无统计学差异；单孔组患者术后肠道功能恢复早于多孔组(1.2±0.4 d vs 1.5+0.5 d,P=0.029).所有患者均于术后5d内出院(3.8±0.8 d vs 4.0±0.9d,P=0.462).术后随访1个月～2年,两组患者并发症的发生率无统计学差异.结论:经脐单孔腹腔镜阑尾切除术安全、有效,美容效果好,具有可行性.其临床应用价值仍需进一步的临床研究证实.%Objective: To explore the safety and feasibility of transumbilical single-incision la-paroscopic appendectomy, methods: From Jan 2009 to May 2011, 53 patients underwent laparo-scopic appendectomy in Shengjing Hospital of China Medical University. There were 32 patients in the single-incision group and 21 patients in the conventional group. Collect and compare the clinicaldata of the two groups. Results: All the operations were successfully completed with no significant difference in mean operation time(P=0.358) and blood loss(P=0.595). Patients in the single-incision group resumed normal bowel activity earlier than those in the conventional group0.2 ± 0.4 d vs 1.5 ± 0.5 d, P=0.029). All the patients discharged from hospital within 5 days after operation(3.8 ± 0.8 d vs 4.0 ±0.9 d, P=0.462). The postoperative complications between the two groups had no significant difference after a period of 1 to 24 months. Conclusion: Trans umbilical single-incision laparoscop-ic appendectomy is safe and feasible, while its clinical application needs further study.
展开▼
