经脐单孔腹腔镜胆囊切除术与传统腔镜胆囊切除术的比较分析
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摘要
目的分析经脐单孔腹腔镜胆囊切除术(TU-LESS)的优势、预后状况及安全性。方法良性胆囊疾病病人100例,按手术方式不同分为A组和B组,每组各50例,A组应用TU-LESS进行治疗,B组应用传统腹腔镜进行治疗。评估两组手术状况,术后3天VAS评分、术后腹壁美观效果及住院费用。结果 A组切口大小、术中出血量、术后排气时间、住院时间、术后并发症总发生率、3天后VAS评分和住院费用均低于B组,差异有统计学意义(P <0. 05)。A组术后腹壁美容满意度评分高于B组,差异有统计学意义(P <0. 05)。结论与传统腔镜胆囊切除术比较,TU-LESS操作具有对病人损伤较小、术后并发症降低、恢复快、腹壁美容度更高等特点。
Objective To analyze the clinical advantages,prognosis and safety of transurethral single-hole laparoscopic cholecystectomy( TU-LESS) compared with the traditional endoscopic cholecystectomy. Methods 100 patients with benign gallbladder disease were selected in our hospital. According to different surgical methods they were divided into two group,50 cases in each group. Group A treated with TU-LESS,group B used of traditional laparoscopic treatment. The surgical status,postoperative 3 dVAS score,postoperative abdominal aesthetics and hospitalization were evaluated. Results The average size of incision,blood loss,postoperative exhaust time,hospital stay time,postoperative complications rate,postoperative 3 dVAS score and hospitalization costof group A were lower than group B,the difference was statistically significant( P < 0. 05). The postoperative aesthetic satisfaction score of abdominal wall in group A was higher than that of group,the difference was statistically significant( P < 0. 05). Conclusion Compared with the traditional endoscopic cholecystectomy,TU-LESS operation has characterized of less damage to the patient,reduce postoperative complications,rapid recovery,with higher degree of cosmetic abdominal wall.
Objective To analyze the clinical advantages,prognosis and safety of transurethral single-hole laparoscopic cholecystectomy( TU-LESS) compared with the traditional endoscopic cholecystectomy. Methods 100 patients with benign gallbladder disease were selected in our hospital. According to different surgical methods they were divided into two group,50 cases in each group. Group A treated with TU-LESS,group B used of traditional laparoscopic treatment. The surgical status,postoperative 3 dVAS score,postoperative abdominal aesthetics and hospitalization were evaluated. Results The average size of incision,blood loss,postoperative exhaust time,hospital stay time,postoperative complications rate,postoperative 3 dVAS score and hospitalization costof group A were lower than group B,the difference was statistically significant( P < 0. 05). The postoperative aesthetic satisfaction score of abdominal wall in group A was higher than that of group,the difference was statistically significant( P < 0. 05). Conclusion Compared with the traditional endoscopic cholecystectomy,TU-LESS operation has characterized of less damage to the patient,reduce postoperative complications,rapid recovery,with higher degree of cosmetic abdominal wall.
引文
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[3]谢炜,肖林康,张雷,等.单孔腹腔镜与传统腹腔镜胆囊切除对胆囊良性疾病的疗效对比分析[J].第三军医大学学报,2015,37(19):1989-1992.
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[5]杨福,何建平,李晓凯.经脐部单孔腹腔镜胆囊切除术及常规腹腔镜胆囊切除术的疗效比较[J].肝胆胰外科杂志,2015,27(6):523-525.
[6] Choi KK,Kim MJ,Park HJ,et al. Single-incision laparoscopic sple-nectomy versus conventional multiport laparoscopic splenectomy:a ret-rospective comparison of outcomes[J]. Surg Innov,2013,20(1):40-45.
[7]赵沨,王培斌,黄强. Rouviere沟引导定位在腹腔镜胆囊切除术中的应用价值[J].中国老年学杂志,2015,35(13):3681-3682.
[8]孙正华,国维克,张正东,等.改良式单孔腹腔镜与传统腹腔镜胆囊切除术临床对比研究[J].肝胆胰外科杂志,2017,29(2):98-102.
[9]崔凌志,张曼旭,王秋红,等.腹腔镜治疗胆总管结石伴胆囊结石的最佳术式研究[J].中国全科医学,2017,20(2):237-240.
[10]李琦,吴海滨.经脐单孔腹腔镜胆囊切除术与传统三孔法腹腔镜胆囊切除术的疗效比较[J].临床肝胆病杂志,2017,33(9):1758-1761.
[11]姚峰平,柏文庆,顾石,等.经脐单孔腹腔镜胆囊切除术22例[J].中国微创外科杂志,2015,15(5):470-471.
[12]李瑞斌,李艳茹,万智恒,等.经脐单孔腹腔镜下胆囊切除术的临床可行性研究[J].中国普通外科杂志,2015,24(8):1125-1129.
[2]李福荣,牛福勇.单切口腹腔镜胆囊切除术治疗急性胆囊炎的可行性研究[J].中国普外基础与临床杂志,2017,24(6):722-726.
[3]谢炜,肖林康,张雷,等.单孔腹腔镜与传统腹腔镜胆囊切除对胆囊良性疾病的疗效对比分析[J].第三军医大学学报,2015,37(19):1989-1992.
[4]白海潮,陈彦芳.腹腔镜胆囊切除术治疗胆囊结石的疗效和安全性观察[J].临床医学,2017,37(8):91-92.
[5]杨福,何建平,李晓凯.经脐部单孔腹腔镜胆囊切除术及常规腹腔镜胆囊切除术的疗效比较[J].肝胆胰外科杂志,2015,27(6):523-525.
[6] Choi KK,Kim MJ,Park HJ,et al. Single-incision laparoscopic sple-nectomy versus conventional multiport laparoscopic splenectomy:a ret-rospective comparison of outcomes[J]. Surg Innov,2013,20(1):40-45.
[7]赵沨,王培斌,黄强. Rouviere沟引导定位在腹腔镜胆囊切除术中的应用价值[J].中国老年学杂志,2015,35(13):3681-3682.
[8]孙正华,国维克,张正东,等.改良式单孔腹腔镜与传统腹腔镜胆囊切除术临床对比研究[J].肝胆胰外科杂志,2017,29(2):98-102.
[9]崔凌志,张曼旭,王秋红,等.腹腔镜治疗胆总管结石伴胆囊结石的最佳术式研究[J].中国全科医学,2017,20(2):237-240.
[10]李琦,吴海滨.经脐单孔腹腔镜胆囊切除术与传统三孔法腹腔镜胆囊切除术的疗效比较[J].临床肝胆病杂志,2017,33(9):1758-1761.
[11]姚峰平,柏文庆,顾石,等.经脐单孔腹腔镜胆囊切除术22例[J].中国微创外科杂志,2015,15(5):470-471.
[12]李瑞斌,李艳茹,万智恒,等.经脐单孔腹腔镜下胆囊切除术的临床可行性研究[J].中国普通外科杂志,2015,24(8):1125-1129.