CAJ | 학술논문

目的探讨单孔腹腔镜阑尾切除术治疗慢性阑尾炎的安全性和可行性.方法回顾性分析北京中日友好医院2010年1月至2012年11月同一术者行腹腔镜阑尾切除术治疗慢性阑尾炎共计121例,其中单孔腹腔镜阑尾切除术58例,三孔腹腔镜阑尾切除术63例,比较分析两组的临床资料.结果与三孔腹腔镜组比较,单孔腹腔镜组切口满意度得分较高,(4.5±0.7)比(3.0±0.6),f=13.50,P=0.00；术后对止痛药的需求次数较少,(1.2±0.5)次比(2.1±0.7)次,t=-8.25,P=0.00；手术时间未增加,(40±10) min比(37 ±9) min,t=1.94,P=0.055;失血量未增多,(12±6) ml比(13 ±6) ml,t=-1.50,P=0.137;术后住院时间无差异,(1.4±0.6)d比(1.6±0.7)d,t=-1.82,P=0.072.全组在围手术期均无手术并发症发生.结论单孔腹腔镜阑尾切除术安全可行,与常规三孔腹腔镜手术有相似的临床效果.
목적 탐토단공복강경란미절제술치료만성란미염적안전성화가행성.방법 회고성분석북경중일우호의원2010년1월지2012년11월동일술자행복강경란미절제술치료만성란미염공계121례,기중단공복강경란미절제술58례,삼공복강경란미절제술63례,비교분석량조적림상자료.결과 여삼공복강경조비교,단공복강경조절구만의도득분교고,(4.5±0.7)비(3.0±0.6),f=13.50,P=0.00；술후대지통약적수구차수교소,(1.2±0.5)차비(2.1±0.7)차,t=-8.25,P=0.00；수술시간미증가,(40±10) min비(37 ±9) min,t=1.94,P=0.055;실혈량미증다,(12±6) ml비(13 ±6) ml,t=-1.50,P=0.137;술후주원시간무차이,(1.4±0.6)d비(1.6±0.7)d,t=-1.82,P=0.072.전조재위수술기균무수술병발증발생.결론 단공복강경란미절제술안전가행,여상규삼공복강경수술유상사적림상효과.
Objective To evaluate the safety and feasibility of single-port laparoscopic surgery (SPLS) for chronic appendicitis.Methods Data of patients who had undergone either conventional threeport surgery (n =58) or SPLS (n =63) for chronic appendicitis between January 2010 and November 2012 were analyzed retrospectively.The short-term outcomes of these 2 operative modalities were compared.Results The overall satisfaction score of SPLS group was significantly higher than that of the three-port group (4.5 ±0.7) vs.(3.0 ±0.6),t =13.50,P =0.00,there was less frequent use of parenteral narcotics in SPLS patients (1.2 ± 0.5) vs.(2.1 ± 0.7) times,t =-8.25,P =0.00,length of operation time was the same in SPLS group (40 ± 10) vs.(37 ±9) minutes,t =1.94,P =0.055.There was not different in postoperative recovery (1.4 ± 0.6) vs.(1.6 ± 0.7) d,t =-1.82,P =0.072,nor different in perioperative complications and intraoperative blood loss between groups (12 ± 6) vs.(13 ± 6) ml,t =-1.50,P =0.137.Conclusions SPLS is both safe and feasible in the treatment of chronic appendicitis.