|
|
|
| Efficacy analysis of transumbilical single-port and three-port laparoscopic cholecystectomy in the treatment of calculous cholecystitis |
| QI Fang |
| Department of General Surgery, Affiliated Central Hospital of Shenyang Medical College, Liaoning Province, Shenyang 110024, China |
|
|
|
|
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.
|
|
|
|
|
|
| [11] |
金宇，敖建阳，缪金透，等.腹腔镜胆囊切除术时机对急性结石性胆囊炎患者创伤应激及免疫功能的影响[J].浙江临床医学，2019，21（1）：23-25.
|
| [12] |
慈云胜.腹腔镜手术治疗急性胆囊炎伴结石的临床效果分析[J].中国基层医药，2019，26（20）：2498-2500.
|
| [13] |
Pololsky ER，Curcillo ⅡPG，Rottman SJ，et al.Single port access（SPA）surgery-initial experience of a novel minimal access approach applied across surgical spetialties[J].Surg Endosc，2008，22（6）：172-173.
|
| [14] |
中华医学会外科学分会腹腔镜与内镜外科学组.单孔腔镜手术技术专家共识[J].中国实用外科杂志，2010，30（8）：665-666.
|
| [15] |
杨瑞军，白筱晞.腹腔镜胆囊切除术治疗急性结石性胆囊炎的效果及对炎症因子及血清淀粉酶水平的影响[J].贵州医药，2020，44（4）：579-580.
|
| [16] |
刘剑.腹腔镜联合胆道镜手术对胆总管并胆囊结石术后并发症、预后恢复的影响[J].中国现代医生，2021，59（1）：47-50.
|
| [1] |
李小平，晏江，姚国忠，等.急性结石嵌顿性胆囊炎发病72 小时内行腹腔镜手术80 例分析[J].江苏医药，2019，45（8）：773-775.
|
| [2] |
李海东，徐安安，王波，等.经脐单孔腹腔镜胆囊切除术治疗慢性胆囊炎合并胆囊结石[J].中华肝胆外科杂志，2019，25（10）：733-736.
|
| [3] |
陈光裕，周小月，李鹏，等.腹腔镜胆囊切除术对急性结石性胆囊炎患者术后炎症因子及血清淀粉酶水平的影响[J].北华大学学报（自然科学版），2019，20（2）：208-212.
|
| [4] |
张剑锋，侯英奎，张凯，等.经脐单孔腹腔镜胆囊切除术对结石性胆囊炎患者肠胃功能恢复、 并发症及临床满意度的影响[J].临床和实验医学杂志，2018，17（4）：388-391.
|
| [5] |
梅洪亮，黄致远，李汉军，等.急性非结石性胆囊炎的综合诊治分析[J].中国普外基础与临床杂志，2017，24（7）：870-873.
|
| [6] |
苏红军，戴圣海.腹腔镜与开腹手术治疗急性结石性胆囊炎的效果[J].黑龙江医药科学，2017，40（6）：111,113.
|
| [7] |
宋连成.结石性胆囊炎采用开腹和腹腔镜手术切除胆囊治疗的临床疗效观察[J].医药论坛杂志，2017，38（8）：66-67.
|
| [8] |
马颖，罗艳丽，谢泽荣，等.腹腔镜胆囊切除术对胆囊结石合并急性胆囊炎患者血清ICAM-1、IL-1、MPO 及淀粉酶水平的影响[J].肝胆外科杂志，2019，27（2）：104-107.
|
| [9] |
李鸥，马论.改良经脐单孔腹腔镜胆囊切除对免疫学指标及术后并发症的影响[J].肝胆外科杂志，2018，26（5）：356-360.
|
| [10] |
王青峰，张明，汪源，等.腹腔镜下三孔法胆囊切除术治疗急性胆囊炎患者的临床疗效及手术指标观察[J].贵州医药，2018，42（9）：1095-1097.
|
|
|
|
