Minilap辅助经脐单孔腹腔镜下胆囊切除术的临床应用研究

发布时间：2019-01-04 10:51

【摘要】：目的:探讨Minilap辅助下经脐单孔腹腔镜下胆囊切除术的可行性。方法:随机选取2015年1月—2015年12月包头医学院第一附属医院普外一科住院胆囊结石、胆囊息肉患者40例,按照自愿的原则分为对照组与观察组,每组20例,分别行经脐单孔腹腔镜胆囊切除术(对照组)与Minilap辅助经脐单孔腹腔镜胆囊切除术(观察组)。比较两组患者的相关临床指标。结果:40例腹腔镜手术均获成功,无中转开腹。与对照组比较,观察组平均手术时间(29.90 min vs.19.10 min,P=0.000)与术中出血量(4.90 mL vs.8.05 mL,P=0.000)明显减少;术后住院时间、疼痛评分、术后使用镇痛药物、对瘢痕满意度方面两组间均无统计学差异(均P0.05)。术后随访10~18个月,患者术后恢复良好,Minilap穿刺点无明显疤痕。结论:Minilap辅助下经脐腹腔镜胆囊切除术安全可行、术后美容效果好,降低了手术难度,值得临床应用。
[Abstract]:Objective: to investigate the feasibility of Minilap assisted laparoscopic cholecystectomy. Methods: forty patients with gallbladder polyps were randomly selected from January 2015 to December 2015 in the first affiliated Hospital of Baotou Medical College. According to the voluntary principle, they were divided into control group and observation group with 20 cases in each group. Laparoscopic cholecystectomy (control group) and Minilap assisted laparoscopic cholecystectomy (observation group) were performed. To compare the related clinical indexes between the two groups. Results: all 40 cases of laparoscopic surgery were successful and no conversion to open operation. Compared with the control group, the mean operative time (29.90 min vs.19.10 min,P=0.000) and intraoperative blood loss (4.90 mL vs.8.05 mL,P=0.000) were significantly decreased in the observation group. There was no significant difference between the two groups in terms of postoperative hospitalization time, pain score, postoperative analgesic drug use, and satisfaction with scar (P0.05). The patients were followed up for 10 ~ 18 months. The patients recovered well and there was no obvious scar at the puncture site of Minilap. Conclusion: Minilap assisted laparoscopic cholecystectomy is safe and feasible.
【作者单位】：内蒙古科技大学包头医学院;包头医学院第一附属医院普外一科;
【基金】：内蒙古包头市社会发展科技支撑项目(2015S2004-5-20)
【分类号】：R657.4

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