单孔腹腔镜与传统腹腔镜胆囊切除对胆囊良性疾病的疗效对比分析

谢炜; 肖林康; 张雷; 孙安仁; 傅翔

您当前的位置：

首页 >

文章列表页 >

单孔腹腔镜与传统腹腔镜胆囊切除对胆囊良性疾病的疗效对比分析

论著 | 更新时间：2026-01-09

- 单孔腹腔镜与传统腹腔镜胆囊切除对胆囊良性疾病的疗效对比分析
- Clinical outcomes of single-incision laparoscopic cholecystectomy versus 3-port laparoscopic cholecystectomy
- 陆军军医大学学报 2015年37卷第19期页码：1989-1992
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R572;R675.405
- 纸质出版：2015
- 稿件说明：
移动端阅览
谢炜,肖林康,张雷,孙安仁,傅翔.单孔腹腔镜与传统腹腔镜胆囊切除对胆囊良性疾病的疗效对比分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(19 ):1989-1992.　Xie Wei,Xiao Linkang,Zhang Lei,Sun Anren,Fu Xiang.Clinical outcomes of single-incision laparoscopic cholecystectomy versus 3-port laparoscopic cholecystectomy[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(19 ):1989-1992.

谢炜, 肖林康, 张雷, et al. Clinical outcomes of single-incision laparoscopic cholecystectomy versus 3-port laparoscopic cholecystectomy[J]. Journal of Army Medical University, 2015, 37(19): 1989-1992.
谢炜,肖林康,张雷,孙安仁,傅翔.单孔腹腔镜与传统腹腔镜胆囊切除对胆囊良性疾病的疗效对比分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(19 ):1989-1992.　Xie Wei,Xiao Linkang,Zhang Lei,Sun Anren,Fu Xiang.Clinical outcomes of single-incision laparoscopic cholecystectomy versus 3-port laparoscopic cholecystectomy[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(19 ):1989-1992. DOI：

谢炜, 肖林康, 张雷, et al. Clinical outcomes of single-incision laparoscopic cholecystectomy versus 3-port laparoscopic cholecystectomy[J]. Journal of Army Medical University, 2015, 37(19): 1989-1992. DOI：

摘要

目的比较单孔腹腔镜胆囊切除术（single-incision laparoscopic cholecystectomy

SILC)与传统三孔腹腔镜胆囊切除术（three port laparoscopic cholecystectomy

TPLC)治疗胆囊良性疾病的安全性及有效性。方法我科于2011年6月至2013年4月因胆囊良性疾病行腹腔镜胆囊切除术116例，其中45例患者行SILC，71例患者行TPLC，对比分析两组患者手术时间、术中出血量、术后住院时间、并发症发生率、疼痛评分、中转开腹率和美容效果满意度。结果两组患者年龄、性别、体质量指数等方面比较差异无统计学意义(P0.05)。SILC组患者手术时间明显长于TPLC组(P0.05)；SILC组与TPLC组术中出血量比较差异无统计学意义(P0.05)；两组患者术后住院时间比较差异无统计学意义(P0.05)；术后第1天疼痛评分SILC组明显高于TPLC组(P0.05)。两组术后并发症发生率比较差异无统计学意义(P0.05)。SILC组美容效果满意度明显高于TPLC组(P0.05)。结论单孔腹腔镜胆囊切除术治疗胆囊良性疾病安全、有效，较传统三孔腹腔镜胆囊切除术美容效果好，但手术时间稍长于传统腹腔镜手术。

Abstract

Objective To evaluate the safety and efficacy of single-incision laparoscopic cholecystectomy (SILC) versus 3- port laparoscopic cholecystectomy (TPLC) in the treatment of benign gallbladder diseases. Methods A total of 116 patients with benign gallbladder diseases administered in our department from June 2011 to April 2013 were retrospectively recruited in this study. Forty-five of them undergoing SILC were assigned into group SILC

and 71 patients receiving TPLC into group TPLC. There were no significant differences in age

sex

or body mass index among the 2 groups (P0.05). Operative time

blood loss

postoperative hospital stay

incidence of complications

pain score

laparotomy rate

and satisfaction with cosmetic results were analyzed and compared between the 2 groups. Results Operation time was significantly longer in the group SILC than the group (P0.05). There was no statistical significances in the amount of intraoperative bleeding and postoperative staying time between the 2 groups (P0.05). The pain scores were higher in the group SILC than the group TPLC in postoperative day 1 (P0.05)

but no difference was seen in the incidence of complications. Obvious higher cosmetic satisfaction was seen in the group SILC (P0.05). Conclusion SILC is a safe and efficient approach for surgical treatment of benign gallbladder diseases. It is superior to TPLC because of its better cosmetic results

but takes longer of operation time.

关键词

Keywords

references

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

单孔与传统腹腔镜下行宫颈癌根治手术患者围手术期对比研究

兔胆囊切除术后Oddi括约肌离体运动功能的变化

针对老年腹腔镜胆囊切除术并存疾病患者的围手术期护理

腹腔镜胆囊切除术中Calot三角解剖的技巧

胆囊腺肌增生病(附20例报告)