Abstract：Objective To investigate the clinical efficacy of transumbilical single-port and three-port laparoscopic cholecystectomy in the treatment of calculous cholecystitis. Methods A total of 86 patients with calculous cholecystitis admitted to Affiliated Central Hospital of Shenyang Medical College from January 2018 to June 2019 were selected as the research objects, and divided into the observation group and the control group according to the random number table method,with 43 cases in each group.The observation group was treated with transumbilical single-port laparoscopic cholecystectomy, and the control group was treated with transumbilical three-port laparoscopic cholecystectomy. The surgical time and postoperative hospitalization time, incision pain score, analgesia medication rate, incidence of complications, and cosmetic incision satisfaction score were compared between the two groups. Results The surgical time of the observation group longer than that of the control group, and the postoperative hospitalization time of the observation group was shorter than that of the control group, the differences were statistically significant (P＜0.05). The postoperative cosmetic satisfaction score of the observation group was higher than that of the control group, the difference was statistically significant (P＜0.05). The postoperative incision pain score and analgesia medication rate of the observation group were lower than those of the control group, the differences were statistically significant (P＜0.05).Incidence of postoperative complications was compared between the two groups, and the difference was not statistically significant (P＞0.05). Conclusion Transumbilical single-port laparoscopic cholecystectomy is used in the treatment of calculous cholecystitis. Although the operation time is relatively long, it can obtain good curative effect and has more advantages, that is, postoperative pain is lighter and can be reduce the use of analgesics, and to improve patients′satisfaction with incision beauty. It is worthy to use.
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