Clinical efficacy of transumbilical single-port laparoscopic cholecystectomy in treatment of acute cholecystitis
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摘要:
目的探讨经脐单孔腹腔镜切除术对急性胆囊炎患者的临床疗效及对术后胃肠功能恢复的影响。方法选取2013年1月-2014年2月陕西省延安大学附属医院收治的74例符合急性胆囊炎诊断标准的患者,以经脐腹腔镜治疗为治疗组(n=37),以常规腹腔镜治疗为对照组(n=37),分别比较两组在手术时间、术中出血量、术后并发症发生率、肠鸣音恢复时间、排气时间、下床活动时间、住院费用方面的差异。计数资料组间比较采用χ2检验,计量资料组间比较采用t检验。结果治疗组在手术时间[(40.8±6.9)min]、术中出血量[(10.5±1.5)L]、术后并发症发生率(10.8%)、肠鸣音恢复时间[(2.5±0.3)h]、排气时间[(1.6±4.1)h]、下床活动时间[(9.7±5.8)h]、住院费用[(8218±389)元]等方面明显低于对照组,差异均有统计学意义(P值均<0.05);结论经脐单孔腹腔镜胆囊切除术治疗急性胆囊炎具有创伤小、术后胃肠功能恢复快的特点,是安全可行的,值得临床推广。
Abstract:Objective To evaluate the clinical efficacy of transumbilical single- port laparoscopic cholecystectomy in patients with acute cholecystitis and the effect of this surgical procedure on the postoperative recovery of gastrointestinal function. Methods This study enrolled74 patients who were diagnosed with acute cholecystitis at Yanan University Affiliated Hospital,Shaanxi Province,China,from January 2013 to February 2014. The patients received either transumbilical laparoscopic surgery( treatment group) or conventional laparoscopic treatment( control group). Differences in operative time,intraoperative blood loss,rate of postoperative complications,time to first bowel sound,time to first flatus,time to ambulation,and hospital costs were compared between the two groups. Categorical data were compared using the χ2test and continuous data were compared using the t test. Results No significant difference was noted between the treatment group and the control group in terms of operative time( P > 0. 05). However,the treatment group had significantly lower blood loss( 10. 5 ± 1. 5 L),rate of postoperative complications( 10. 8%),and hospital costs( 8218 ± 389 yuan) and significantly less time to first bowel sound( 2. 5 ± 0. 3 h),time to first flatus( 1. 6 ± 4. 1 h),and time to ambulation( 9. 7 ± 5. 8 h) than the control group( all P < 0. 05). Conclusion Transumbilical single- port laparoscopic cholecystectomy is a safe and feasible procedure for the treatment of acute cholecystitis as it offers minimal trauma and fast recovery of gastrointestinal function after surgery,which warrants its greater use in clinical practice.
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