全科医学临床与教育
全科醫學臨床與教育
전과의학림상여교육
CLINICAL EDUCATION OF GENERAL PRACTICE
2014年
1期
39-40,46
,共3页
经脐单孔腹腔镜胆囊切除术%腹腔镜胆囊切除术
經臍單孔腹腔鏡膽囊切除術%腹腔鏡膽囊切除術
경제단공복강경담낭절제술%복강경담낭절제술
transumbilical single-port laparoscopic cholecystectomy%laparoscopic cholecystectomy
目的:比较经脐气腹单孔腹腔镜胆囊切除术(TSLC)与传统腹腔镜胆囊切除术(LC)的临床疗效和安全性。方法回顾性分析接受TSLC手术的患者21例以及同一时期接受LC治疗的18例患者,比较两组患者在手术时间、术中出血量、术后恢复排气时间以及并发症之间的差异。结果 TSLC组21例患者成功完成手术,手术时间为(94.62±16.57) min,出血量为(20.48±10.71) ml,术后恢复肛门排气时间为(29.29±6.44) h;而LC组患者的手术时间为(63.89±7.19) min,出血量为(21.94±13.52) ml,术后恢复肛门排气时间为(28.78±6.12) h,两组患者术后随访半年,无相关并发症发生。TSLC组的手术时间长于LC组,差异有统计学意义(t=7.29,P<0.05);其余指标比较,差异无统计学意义(t分别=0.37、0.25,P均>0.05)。结论 TSLC具有与LC相同的安全性,但所需手术时间较长,对器械和技术要求较高。
目的:比較經臍氣腹單孔腹腔鏡膽囊切除術(TSLC)與傳統腹腔鏡膽囊切除術(LC)的臨床療效和安全性。方法迴顧性分析接受TSLC手術的患者21例以及同一時期接受LC治療的18例患者,比較兩組患者在手術時間、術中齣血量、術後恢複排氣時間以及併髮癥之間的差異。結果 TSLC組21例患者成功完成手術,手術時間為(94.62±16.57) min,齣血量為(20.48±10.71) ml,術後恢複肛門排氣時間為(29.29±6.44) h;而LC組患者的手術時間為(63.89±7.19) min,齣血量為(21.94±13.52) ml,術後恢複肛門排氣時間為(28.78±6.12) h,兩組患者術後隨訪半年,無相關併髮癥髮生。TSLC組的手術時間長于LC組,差異有統計學意義(t=7.29,P<0.05);其餘指標比較,差異無統計學意義(t分彆=0.37、0.25,P均>0.05)。結論 TSLC具有與LC相同的安全性,但所需手術時間較長,對器械和技術要求較高。
목적:비교경제기복단공복강경담낭절제술(TSLC)여전통복강경담낭절제술(LC)적림상료효화안전성。방법회고성분석접수TSLC수술적환자21례이급동일시기접수LC치료적18례환자,비교량조환자재수술시간、술중출혈량、술후회복배기시간이급병발증지간적차이。결과 TSLC조21례환자성공완성수술,수술시간위(94.62±16.57) min,출혈량위(20.48±10.71) ml,술후회복항문배기시간위(29.29±6.44) h;이LC조환자적수술시간위(63.89±7.19) min,출혈량위(21.94±13.52) ml,술후회복항문배기시간위(28.78±6.12) h,량조환자술후수방반년,무상관병발증발생。TSLC조적수술시간장우LC조,차이유통계학의의(t=7.29,P<0.05);기여지표비교,차이무통계학의의(t분별=0.37、0.25,P균>0.05)。결론 TSLC구유여LC상동적안전성,단소수수술시간교장,대기계화기술요구교고。
Objective To analyze the clinical effect and safety of transumbilical single -port laparoscopic cholecystectomy (TSLC) and laparoscopic cholecystectomy (LC). Methods A total of 21 TSLC and 18 LC patients were retrospectively analyzed. The operation time, intraoperative blood loss, exsufflation time and the complication between two groups were compared. Results Operations in all patients were successfully. The operation time, intraoperative blood soss, exsufflation time in TSLC were (94.62±16.57)min,(20.48±10.71)ml,(29.29±6.44)hours; and in LC groups were (63.89±7.19)min,(21.94±13.52)ml,(28.78±6.12)hours respectively. The differences of operation time between two groups had statistical significance (t=7.29,P<0.05), the rest items had no statistical significance (t=0.37,0.25,P>0.05). No complications were found in two groups during operation and in the following 6 months. Conclusion TSLC is safe as LC, but need more operation time, and also have higher requirements for equipment and technology.