单孔腹腔镜与标准三孔腹腔镜胆囊切除术的疗效比较

被引：3

作者：

廖朝兴

机构：

[1] 重庆西南铝医院普通外科

来源：

检验医学与临床 | 2014年 / 11卷 / 07期

关键词：

单孔腹腔镜胆囊切除术; 手术时间; 瘢痕形成; 适应证;

D O I：

暂无

中图分类号：

R657.4 [胆囊、胆管];

学科分类号：

100408 [卫生政策与卫生管理学];

摘要：

目的比较单孔腹腔镜与非单孔腹腔镜胆囊切除术的疗效。方法统计分析2011年4月至2013年2月的单孔腹腔镜与标准三孔腹腔镜胆囊切除术(非单孔腹腔镜胆囊切除术)治疗患者的相关数据,比较内容为手术时间、失血量、中转开腹率、术后疼痛时间、术后并发症、手术瘢痕等。结果单孔腹腔镜胆囊切除术操作时间(71min)长于非单孔腹腔镜胆囊切除术(47min)。单孔腹腔镜胆囊切除术与非单孔腹腔镜胆囊切除术同样安全,术中出血及术后并发症两者无明显差异,但单孔腹腔镜切口疝形成(1.7%)及手术瘢痕(3.1分)明显优于非单孔腹腔镜组(4.26%与4.8分),差异有统计学意义(P<0.05)。结论单孔腹腔镜胆囊切除术与传统术式同样安全,且术后具有更好的美容效果,值得推广。

引用

页码：951 / 952

页数：2

共 9 条

[1]

单孔腹腔镜与非单孔腹腔镜胆囊切除术安全性及有效性的荟萃分析 [J].

顾钧 ;

李茂岚 ;

吴文广 ;

董平 ;

陆建华 ;

丁琦晨 ;

张林 ;

杨佳华 ;

吴向嵩 ;

穆嘉盛 ;

刘颖斌 ;

毕建威 .

中国现代手术学杂志, 2012, 16 (01) :8-12

[2]

单孔腹腔镜技术在肝脏手术中的应用 [J].

潘明新 ;

梁志伟 ;

蒋泽生 ;

徐小平 ;

刘海燕 ;

高毅 .

中华腔镜外科杂志(电子版), 2011, 4 (02) :6-9

[3]

Single incision versus standard 4-port laparoscopic cholecystectomy: A prospective randomized trial.[J].Daniel J. Ostlie;Obinna O. Adibe;David Juang;Corey W. Iqbal;Susan W. Sharp;Charles L. Snyder;Walter S. Andrews;Ronald J. Sharp;George W. Holcomb;Shawn D. St. Peter.Journal of Pediatric Surgery.2012,

[4]

Randomized Clinical Trial of Single-incision Versus Conventional Laparoscopic Cholecystectomy: Short-term Operative Outcomes [J].

Cao, Zhan Guo ;

Cai, Wang ;

Qin, Ming Fang ;

Zhao, Hong Zhi ;

Yue, Ping ;

Li, Yang .

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2011, 21 (05) :311-313

[5]

Randomized Controlled Trial Comparing Single-Port Laparoscopic Cholecystectomy and Four-Port Laparoscopic Cholecystectomy [J].

Ma, Jun ;

Cassera, Maria A. ;

Spaun, Georg O. ;

Hammill, Chet W. ;

Hansen, Paul D. ;

Aliabadi-Wahle, Shaghayegh .

ANNALS OF SURGERY, 2011, 254 (01) :22-27

[6]

Prospective randomized controlled trial of traditional laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy: Report of preliminary data [J].

Marks, Jeffrey ;

Tacchino, Roberto ;

Roberts, Kurt ;

Onders, Raymond ;

Denoto, George ;

Paraskeva, Paraskevas ;

Rivas, Homero ;

Soper, Nathaniel ;

Rosemurgy, Alexander ;

Shah, Sajani .

AMERICAN JOURNAL OF SURGERY, 2011, 201 (03) :369-373

[7]

Randomized clinical trial of single-incision laparoscopic cholecystectomy versus minilaparoscopic cholecystectomy [J].

Lee, P-C ;

Lo, C. ;

Lai, P-S ;

Chang, J-J ;

Huang, S-J ;

Lin, M-T ;

Lee, P-H .

BRITISH JOURNAL OF SURGERY, 2010, 97 (07) :1007-1012

[8]

Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial.[J].Evangelos C. Tsimoyiannis;Konstantinos E. Tsimogiannis;George Pappas-Gogos;Charalampos Farantos;Nikolaos Benetatos;Paraskevi Mavridou;Adamantia Manataki.Surgical Endoscopy.2010, 8

[9]

A Comprehensive Review of Single-Incision Laparoscopic Surgery (SILS) and Natural Orifice Transluminal Endoscopic Surgery (NOTES) Techniques for Cholecystectomy [J].

Chamberlain, Ronald Scott ;

Sakpal, Sujit Vijay .

JOURNAL OF GASTROINTESTINAL SURGERY, 2009, 13 (09) :1733-1740

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