CAJ | 학술논문

目的探讨经脐单孔腹腔镜胆囊切除术的可行性及安全性.方法回顾分析51例胆囊结石及胆囊息肉病变患者经脐单孔腹腔镜胆囊切除术的临床资料,并与同期38例传统腹腔镜胆囊切除术患者的手术疗效进行比较.结果观察组与对照组术后住院天数分别为(3.0±1.2)d、(5.7±1.6)d,VAS评分(1.2±1.0)、(2.5±1.2)分,腹壁创口满意度96.08％、22.68％,差异均有统计学意义(P＜0.05或0.01),手术时间、术中出血量、并发症情况差异均无统计学意义(均P ＞0.05).结论经脐单孔腹腔镜胆囊切除术治疗胆囊良性疾病安全有效,且更具微创性,美容效果更佳,有待于推广.
목적 탐토경제단공복강경담낭절제술적가행성급안전성.방법 회고분석51례담낭결석급담낭식육병변환자경제단공복강경담낭절제술적림상자료,병여동기38례전통복강경담낭절제술환자적수술료효진행비교.결과 관찰조여대조조술후주원천수분별위(3.0±1.2)d、(5.7±1.6)d,VAS평분(1.2±1.0)、(2.5±1.2)분,복벽창구만의도96.08％、22.68％,차이균유통계학의의(P＜0.05혹0.01),수술시간、술중출혈량、병발증정황차이균무통계학의의(균P ＞0.05).결론 경제단공복강경담낭절제술치료담낭량성질병안전유효,차경구미창성,미용효과경가,유대우추엄.
Objective To explore the feasibility and safety of laparoscopic cholecystectomy through a transumbilical single incision.Methods The clinical data of 51 patients with gallbladdder calculi or polyps who underwent transumbilical single incision laparoscopic cholecystectomy were retrospectively analyzed,and compared with the clinical efficiency of 38 patients with gallbladdder calculi or polyps who underwent conventional laparoscope cholecystectomy.Results In the observation group and control group,it showed significant differences (P ＜ 0.05 or 0.01) in the length of hospital stay of (3.0 ± 1.2) d vs (5.7 ± 1.6) d,and the VAS score of (1.2 ± 1.0) vs (2.5 ± 1.2),the abdominal wound satisfaction of 96.08％ vs 22.68％,there was no difference in the operation time,the peri-operative bleeding and the complications situation (all P ＞ 0.05).Conclusion Transumbilical single incision laparoscopic cholecystectomy is a minimally invasive,safe and effective procedure for benign diseases of the gallbladdder with excellent cosmetic results,and deserves to generalize in clinic.