迷你腹腔镜胆囊切除术与腹腔镜胆囊切除术对比
Mini-laparoscopic cholecystectomy vs laparoscopic cholecystectomy.
作者信息
Sarli L, Costi R, Sansebastiano G
机构信息
Institute of General Surgery and Surgical Therapy, Parma University School of Medicine, 14 Via Gramsci, 43100 Parma, Italy, Via Gramsci 14, 43100 Parma, Italy.
出版信息
Surg Endosc. 2001 Jun;15(6):614-8. doi: 10.1007/s004640000316. Epub 2000 Mar 13.
BACKGROUND
We set out to assess the safety and efficacy of mini-laparoscopic cholecystectomy (MLC) in uncomplicated situations.
METHODS
MLC was performed on 30 consecutive selected patients (< 60 years old, ASA I-II, uncomplicated cholecystectomy) with one 12-mm and three 3-mm ports. The total operating time, conversion rate, degree of postoperative pain, duration of postoperative hospital stay, complications, and cosmetic results were all reviewed and compared with 30 cases of consecutive conventional laparoscopic cholecystectomy (LC).
RESULTS
None of the patients in either group required conversion to open cholecystectomy. No complications were observed. The operating time and duration of hospital stay were similar in both groups. The level of postoperative pain was lower in the MLC group (p < 0.001). More patients in the MLC group expressed satisfaction with the cosmetic result (p < 0.05).
CONCLUSIONS
MLC was shown to be feasible in uncomplicated situations. Furthermore, it was associated with less pain and produced better cosmetic results than conventional LC. Randomized studies are still needed to confirm these findings.
背景
我们着手评估在无复杂情况时迷你腹腔镜胆囊切除术（MLC）的安全性和有效性。
方法
对连续30例选定患者（年龄<60岁，ASA I-II级，无复杂情况的胆囊切除术）实施MLC，采用一个12毫米和三个3毫米的端口。回顾了总手术时间、中转率、术后疼痛程度、术后住院时间、并发症及美容效果，并与30例连续的传统腹腔镜胆囊切除术（LC）病例进行比较。
结果
两组患者均无需中转开腹胆囊切除术。未观察到并发症。两组的手术时间和住院时间相似。MLC组术后疼痛程度较低（p<0.001）。MLC组更多患者对美容效果表示满意（p<0.05）。
结论
MLC在无复杂情况时被证明是可行的。此外，与传统LC相比，它疼痛更少，美容效果更好。仍需随机研究来证实这些发现。
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