摘要
目的研究腹腔镜常规器械行单孔腹腔镜胆囊切除术与三孔腹腔镜胆囊切除术的手术效果和安全性。方法以2014年1月-2015年6月就诊的胆囊结石胆囊炎患者共140例作为本次研究的研究对象，所有的患者均需胆囊切除术进行治疗。将所有的患者按照随机排列数字表随机分为两组，分别为单孔组和三孔组。单孔组使用单孔腹腔镜胆囊切除术，三孔组则使用三孔腹腔镜胆囊切除术，比较两组治疗后的手术效果、住院费用和并发症。结果单孔组的手术时间（87．89±12．81）min长于三孔组（53．89±8．91）min，但是住院时间（1．28±0．21）d和总住院费用（11241．21±23．91）元均低于三孔组，且P〈0．05，差异具有统计学意义，两组手术中的出血量差异无统计学意义，P〉0．05；两组的患者均有不同的并发症发生，但都经过处理后好转，且两组并发症（1．43％郴2．86％）发病率差异无统计学意义，P〉0．05。结论单孔腹腔镜胆囊切除术减少了患者的住院时间和住院费用，手术创伤更小，术后患者康复更快，且安全性较高，值得临床推广使用。
Objective To study conventional laparoscopic instruments line single hole peritoneoscope gallblad- der excision and three hole laparoscopic choleeystectomy surgery efficacy and safety. Methods 140 cases patients with gallbladder stones in our hospital from January 2014 to June 2015 were selected as the research subjects. All patients need to be treated with eholecysteetomy. All the patients according to the random number table were ran- domly divided into two groups, respectively for single hole group and three group. Single hole group using a single hole peritoneoscope gallbladder excision, triplex group use three hole laparoscopie gallbladder resection. The surgi- cal effect, hospitalization costs and complications were compared between the two groups after treatment. Results Hole group operation time （87.89 ±12.81 ） rain, longer than the three-hole group （53.89 ± 8.91 ） min, but the hospital stay was （ 1.28 ±0.21 ） d and total hospital costs （ 11 241.21 ± 23.91 ） yuan, were lower than three- hole group, P 〈 0.05, the difference was statistical significance in the amount of bleeding in the two groups were not sta- tistical significance, P 〉 0.05; two groups of patients had complications, but have been treated better, and two con- current disease （ 1.43% vs 2.86% ） incidence was no significant difference, P 〉 0.05. Conclusion Single hole laparoscopic eholecystectomy reduce the hospitalization time and hospitalization expenses, surgical trauma is smal- ler, postoperative recovery is faster, and the safety is high, it is worthy of clinical application.
出处
《国际外科学杂志》
2016年第7期473-475,F0004,共4页
International Journal of Surgery
关键词
单孔腹腔镜
三孔腹腔镜
胆囊切除术
Single port laparoscopic
Three- hole laparoscopic
Cholecystectomy
