单孔腹腔镜经脐胆囊切除术60例临床观察-海南医学.PDFVIP

海南医学2013 年2 月第24 卷第3 期 doi:10.3969/j.issn.1003-6350.2013.03.0155 ·论 著· 单孔腹腔镜经脐胆囊切除术60 例临床观察 周志涛，毛常青，吕培标，李 俊，钟国英 （梅县人民医院普外科微创外科中心，广东 梅州 514011） 【摘要】 目的 探讨单孔腹腔镜经脐胆囊切除术的临床效果。方法 2009 年1月至2011 年6 月间胆囊病变 患者共120例。按入院顺序随机分为研究组和对照组各60 例。对照组采用常规腹腔镜手术方法，研究组采用经 脐单孔腹腔镜手术方法。分别观察两组患者术中情况、术后恢复情况和术后并发症等指标。结果 两组患者手 术时间、术中出血量差异无统计学意义（P0.05 ）。研究组患者肠功能恢复时间、下床活动时间明显短于对照组 （P0.05 ）；两组患者术后并发症率比较差异无统计学意义（P0.05 ）。结论 经脐单孔法具有较好的治疗效果，可 有效加快患者愈合，且美容效果较好。 【关键词】 经脐单孔腹腔镜胆囊切除术；临床疗效；手术时间；术中出血量 【中图分类号】 R657.4 【文献标识码】A 【文章编号】 1003—6350（2013 ）03—0352—03 Clinical observation on transumbilical single-port laparoscopic cholecystectomy: a report of 60 cases. ZHOU Zhi-tao,MAOChang-qing,LVPei-biao,LIJun,ZHONGGuo-ying.MinimallyInvasiveSurgicalCenter,Departmentof GeneralSurgery,MinimallyInvasiveSurgeryCenter,MeixianPeoplesHospital,Meizhou514011,Guangdong,CHINA 【Abstract 】 Objective To discuss the clinical effect of transumbilical single-port laparoscopic cholecystecto- my (TUSPLC). Methods One hundred and twenty patients of gallbladder disease from January 2009 to June 2011 were randomly divided into the study group and the control group according to the order of admission, with 60 cases in each group. Patients in the study group were treated by traditional laparoscopic surgery, while those in the control group were treated by suture suspension type laparoscopic surgery. The intraoperative status, postoperative recovery and postoperative complications were compared between the two groups. Results The intraoperative blood loss and operation time in the two groups showed no statistically significant difference (P0.05). The time for the recov- ery of intestin