Minilap技术与单孔腹腔镜胆囊切除技术的临床对比研究

发布时间：2018-05-31 00:30

本文选题：Minilap技术 + 单孔腔镜技术　；参考：《兰州大学》2015年硕士论文

【摘要】：目的：对比Minilap腹腔镜技术与单孔腹腔镜胆囊切除技术的手术疗效及临床应用价值。探讨在胆囊切除术时,应用Minilap腹腔镜技术的安全性及可行性。方法：2014年1月至2014年12月期间就诊于兰州大学第二医学院微创外科50例没有严重胆囊炎症的胆囊结石或胆囊息肉患者,共分为2组,行Minilap手术切除胆囊的患者25例(Minilap组),行单孔腹腔镜手术切除胆囊的患者25例(单孔组),对比分析手术失血量、术程时间,术后相关并发症,手术穿刺孔疼痛程度、腹部外观满意程度及术式难易程度之间的差异。结果：Minilap组全部顺利完成手术,单孔组2例患者术中因胆囊管、胆囊动脉及胆总管分辨不清,出血明显而中转接受常规腔镜胆囊切除手术。单孔组手术时间明显长于minilap组(P0.01)；手术失血估量和患者对腹部外观美容程度,两组之间差异无统计学意义(P0.05);但在手术难易程度及手术穿刺孔疼痛程度方面,Minilap组优于单孔组,差异有统计学意义(P0.01)。两组患者均未发生手术相关并发症。结论：两种手术方式相比较,Minilap腹腔镜技术安全、可行,美容效果良好,且具有手术时间缩短,手术难度降低,学习曲线短及患者满意度高等优点。随着科技的进步、器械的改善以及操作技术的提高,Minilap腹腔镜技术为腔镜手术的更微化发展指明了新的思路及方向。
[Abstract]:Objective: to compare the curative effect and clinical value of Minilap laparoscopic cholecystectomy and single-hole laparoscopic cholecystectomy. To explore the safety and feasibility of Minilap laparoscopy in cholecystectomy. Methods: from January 2014 to December 2014, 50 patients with cholecystolithiasis or gallbladder polyps without severe inflammation of gallbladder were divided into two groups, who were admitted to the Department of minimally invasive surgery, second School of Medicine, Lanzhou University. There were 25 cases of cholecystectomy with Minilap operation and 25 cases with single hole laparoscopic cholecystectomy (single hole group). The difference between the degree of abdominal appearance satisfaction and the ease of operation. Results all the patients in the small Minilap group completed the operation successfully. Two patients in the single hole group were transferred to conventional endoscopic cholecystectomy because the cystic duct, the gallbladder artery and the common bile duct could not be distinguished during the operation. The operation time of single hole group was significantly longer than that of minilap group (P 0.01), there was no significant difference between the two groups in the evaluation of blood loss and the degree of abdominal cosmetic, but the difficulty of operation and the pain degree of puncture hole were better in Minilap group than in single hole group. The difference was statistically significant (P 0.01). There were no surgical complications in both groups. Conclusion: compared with Minilap laparoscopy, the two surgical methods are safe, feasible, and have good cosmetic effect, and have the advantages of shortening the operation time, reducing the difficulty of operation, short learning curve and high patient satisfaction. With the development of science and technology, the improvement of instruments and operation techniques, Minilap laparoscopy has pointed out new ideas and directions for the further development of endoscopic surgery.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.4

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