摘要
目的:探讨自制切口保护器在腹腔镜手术中安全性和应用价值的评估。方法:回顾性分析2020年5月至2021年2月烟台毓璜顶医院肝胆外科278例行腹腔镜胆囊切除手术,术中应用自制切口保护器的效果分析及其应用价值的评估。患者分为实验组与对照组,实验组应用自制切口保护器,对照组未应用自制切口保护器。对两组术前基本情况及术后切口愈合情况、手术时间、手术失血量、出院时间、手术费用等因素进行单因素分析。结果:278例患者均成功进行腹腔镜胆囊切除手术,无重大手术并发症患者,术后无需要输血患者,无中转开腹手术患者。统计学分析实验组和对照组患者性别、年龄、BMI、病理结果、有无吸烟饮酒史、基础疾病等因素差异无统计学意义(P 】0.05)。腹腔镜胆囊切除术手术时间:实验组为55.52 ±18.62分钟,对照组为63.80 ±27.08分钟;术中失血量:实验组为19.32 ±4.25 mL,对照组为20.25 ±5.56 mL;手术费用:对照组为3147.26 ±300.28元,对照组为3347.00 ±1732.01元;术后切口愈合不良:实验组3例,对照组7例。单因素分析结果显示术后切口愈合情况、出院时间、手术费用存在统计学意义,术中失血量及手术时间无统计学意义。结论:应用自制切口保护器进行肝胆外科腹腔镜胆囊切除手术安全可行,且费用低、术后切口愈合情况良好、术后早出院,应用前景广阔,可作为腹腔良性疾病行腹腔镜手术常规保护切口选择。
Objective: The objective is to evaluate the safety and value of self-made incision protector in laparoscopic surgery. Methods: Retrospective analysis was conducted to evaluate the effect and application value of self-made incision protector in 278 laparoscopic cholecystectomies performed in the Department of Hepatobiliary Surgery, Yuhuangding Hospital, Yantai from May 2020 to February 2021. Patients were divided into experimental group and control group, the experimental group was treated with self-made incision protector, and the control group was not treated with self-made incision protector. Univariate analysis was performed for preoperative information, postoperative wound healing, operative time, operative blood loss, discharge time, operative cost and other factors of the two groups. Results: All the 278 patients underwent successful laparoscopic cholecystectomy without major surgical complications, requiring postoperative blood transfusion, or converting to open surgery. Statistical analysis showed that there were no significant differences in gender, age, BMI, pathological results, smoking and drinking history, underlying diseases and other factors between the experimental group and the control group (P >0.05). The operative time of laparoscopic cholecystectomy was 55.52 ±18.62 minutes in the experimental group and 63.80 ±27.08 minutes in the control group. Intraoperative blood loss: 19.32 ±4.25 mL in the experimental group and 20.25 ±5.56 mL in the control group. The operation cost was 3147.26 ±300.28 yuan in the control group and 3347.00 ±1732.01 yuan in the control group. Poor postoperative wound healing: 3 cases in the experimental group and 7 cases in the control group. Univariate analysis results showed that postoperative wound healing, hospital discharge time and operation cost had statistical significance, while intraoperative blood loss and operation time had no statistical significance. Conclusions: The application of self-made incision protector for laparoscopic cholecystectomy in hepatobiliary surgery is safe and feasible, with low cost, good postoperative incision healing and early postoperative discharge. It has a broad application prospect and can be used as a routine incision protection choice for laparoscopic surgery for benign abdominal diseases.
出处
《临床医学进展》
2021年第9期4149-4154,共6页
Advances in Clinical Medicine
