完全经脐单孔与三孔法腹腔镜胆囊切除术的对比研究

摘要

Objective:To compare the effect of single-port method and three-port method of laparoscopic cholecystectomy( LC) and investigate the single-port method feasibility of LC in clinical application. Methods:The clinical data of 105 cases who underwent LC were analyzed retrospectively. 40 cases underwent single-port method and 65 cases underwent three-port method of LC. Results :A-mong 40 cases,38 cases were succeded by single-port method of LC which two cases had been converted into three-port method with no intraoperative and postoperative complications. The operation time of single-port method of LC was 40-96 min with average 57.7 min. Compared with three-port method of LC, the assessment indexes of single-port method of LC which included operation time, removal gallbladder time, postoperative satisfaction and pain levels was statistical significant P< 0.05) , while the other assessment indexes (blood loss,postoperative out of bed time,postoperative eating time,hospitalization time,hospitalization expenses and complications rat) was no significant difference(P>0.05). Conclusions:Selecting the appropriate cases,single-port laparoscopic cholecystectomy is safe and feasible in clinical application.%目的:对比分析经脐单孔与三孔法腹腔镜胆囊切除术( laparoscopic cholecystectomy,LC)的手术方法及临床效果,探讨单孔法LC的应用价值.方法:回顾分析105例LC患者的临床资料,其中40例行单孔法LC,65例行三孔法LC.结果:38例顺利完成经脐单孔LC,手术时间40～96 min,平均57.7 min；2例中转三孔法LC(归入三孔法).均无并发症发生.两组患者在手术时间、取胆囊时间、术后满意度与疼痛程度方面均有显著差异(P＜0.05),术中出血、术后下床活动时间、术后进食时间、住院时间、住院费用及术后并发症方面两组差异无统计学意义(P＞0.05).结论:选择合适的病例,单孔法LC是安全可行的,可取得满意疗效.