CAJ | 학술논문

目的探讨单孔腹腔镜(SILC)与传统腹腔镜两种术式的安全性和可行性.方法选取胆囊疾病患者54例随机分为SILC组(n=26)和三通道腹腔镜胆囊切除术(3PLC)组(n=28).收集患者年龄、体质量、身高、体质量指数(BMI)、手术时间、疼痛分数、中途转换手术率、切口满意度评分等临床资料,并进行了12个月的随访.结果两组患者在性别、年龄、体质量、身高和BMI方面比较差异无统计学意义(P＞0.05).SILC组手术时间长于3PLC组[(56.9 ±15.8) min比(35.2±8.7) min,P＜0.01].应用相同的麻醉药品后SILC组在术后第1天较3PLC组疼痛分数更高,总的疼痛分数两者相似,差异无统计学意义(P＞0.05).SILC组患者术后伤口并发症发生率更高,但术后疝发生率相同.SILC组切口满意度评分分数更高[(11.7±0.8)分比(10.1±1.2)分,P＜0.05].结论 SILC较3PLC治疗单纯胆道疾病安全、有效.
목적 탐토단공복강경(SILC)여전통복강경량충술식적안전성화가행성.방법 선취담낭질병환자54례수궤분위SILC조(n=26)화삼통도복강경담낭절제술(3PLC)조(n=28).수집환자년령、체질량、신고、체질량지수(BMI)、수술시간、동통분수、중도전환수술솔、절구만의도평분등림상자료,병진행료12개월적수방.결과 량조환자재성별、년령、체질량、신고화BMI방면비교차이무통계학의의(P＞0.05).SILC조수술시간장우3PLC조[(56.9 ±15.8) min비(35.2±8.7) min,P＜0.01].응용상동적마취약품후SILC조재술후제1천교3PLC조동통분수경고,총적동통분수량자상사,차이무통계학의의(P＞0.05).SILC조환자술후상구병발증발생솔경고,단술후산발생솔상동.SILC조절구만의도평분분수경고[(11.7±0.8)분비(10.1±1.2)분,P＜0.05].결론 SILC교3PLC치료단순담도질병안전、유효.
Objective To evaluate the clinical efficacy and safety of single-incision laparoscopic cholecystectomy (SILC) compared with conventional three-port laparoscopic cholecystectomy (3PLC).Methods Fifty-four patients diagnosed with biliary deases were included in this study at our institution.The patients were randomized into two groups:3PLC group (n =28) and SILC group (n =26).Data including gender,age,weight,height,body mass index,operative duration,pain scores,percentage of conversion during the operation and vancouver scar scale were prospectively collected and analyzed.Patients were prospectively collected and analyzed.Patients were followed up for 12 months.Results There were no significant differences between the two groups with respect to gender,age,weight,height and body mass index.The operation time in SILC group was significantly longer than that in 3PLC group [(56.9 ± 15.8) min vs.(35.2 ± 8.7) min,P ＜ 0.01].On the first day after operation,the pain scores were higher for SILC with the application of equal narcotic drugs.There were no statistically signiicnat differences between the two groups in terms of total pain scores.Wound complications were severer in SILC,but there was no significant difference in incidence of incision hernia between the two groups.Cosmetic scores were favored for SILC (11.7 ± 0.8 vs.10.1 ± 1.2,P ＜ 0.05).Conclusion This prospective randomized controlled study showed that SILC is safe and feasible in treating patients with simple biliary diseases compared with 3PLC.