CAJ | 학술논문

目的：探讨经脐单孔腹腔镜阑尾切除术的可行性及临床价值。方法2011年4月-2012年12月共实施腹腔镜下阑尾切除术共84例，其中经脐单孔腹腔镜阑尾切除术15例，传统腹腔镜下三孔阑尾切除术69例，比较两组手术时间、术中出血、术后疼痛、肛门通气时间、住院时间和并发症。结果84例腹腔镜阑尾切除术，均获得成功，无中转开腹。单孔组术后疼痛（长海痛尺）为（1.4±0.5），肛门通气时间为（9.5±3.6）h，明显优于传统组术后疼痛（2.6±0.8）和肛门通气时间（14.3±6.2）h，术后随访3月，均无并发症发生。结论经脐单孔腹腔镜阑尾切除术安全可行。与传统三孔法腹腔阑尾切除术相比，经脐单孔腹腔镜阑尾切除术具有术后疼痛轻、住院时间短、恢复快和更符合美容效果的优点。
목적：탐토경제단공복강경란미절제술적가행성급림상개치。방법2011년4월-2012년12월공실시복강경하란미절제술공84례，기중경제단공복강경란미절제술15례，전통복강경하삼공란미절제술69례，비교량조수술시간、술중출혈、술후동통、항문통기시간、주원시간화병발증。결과84례복강경란미절제술，균획득성공，무중전개복。단공조술후동통（장해통척）위（1.4±0.5），항문통기시간위（9.5±3.6）h，명현우우전통조술후동통（2.6±0.8）화항문통기시간（14.3±6.2）h，술후수방3월，균무병발증발생。결론경제단공복강경란미절제술안전가행。여전통삼공법복강란미절제술상비，경제단공복강경란미절제술구유술후동통경、주원시간단、회복쾌화경부합미용효과적우점。
Objective To discuss the feasibility and clinical curative effect of transumbilical one-trocar laparoscopic appendectomy. Methods From April 2011 to December 2012,a total of 84 cases of appendicitis were retrospectively analyzed,which all used laparoscopic technique. Among them,15 cases used the transumbilical one-trocar laparoscopic appendectomy,69 cases used the traditional three-trocar laparoscopic appendectomy. Their operating time,bleeding during operation,post-operative pain,post-operative exhaust time,hospitalization time and complications were compared. Results A total of 84 cases,all of them were success,no case changed to open surgery. Single hole group postoperative pain (Changhai pain rating scale) was (1.4 ± 0.5), the recovery time of gastrointestinal function was (9.5 ± 3.6)h, significantly better than the traditional group postoperative pain (2.6 ± 0.8) and, the recovery time of gastrointestinal function (14.3 ± 6.2)h, Two methods of surgical patients were followed up for 3 months,no postoperative complications happened. Conclusion Transumbilical one-trocar laparoscopic appendectomy is feasible and safe,compared with the traditional three laparoscopic appendectomy,transumbilical one-trocar laparoscopic appendectomy is more efifcient and less postoperative pain, shorter hospitalization time, rapid recovery and advantage more in line with the cosmetic effect.