Gupta Aman, Shrivastava U K, Kumar Praveen, Burman Deepa
Department of Surgery, University College of Medical Sciences, Guru Teg, Bahadur Hospital, Delhi 110095.
Trop Gastroenterol. 2005 Jul-Sep;26(3):149-51.
Since its introduction in 1987, the technique of cholecystectomy has continued to undergo evolution. Surgeons have reduced the port size and number or both to achieve improvement in postoperative pain control, rapid return to activity and better cosmetic results. Therefore, this study was done to compare the standard 4 port laparoscopic cholecystectomy (LC) with the 3 port laparoscopic cholecystectomy using a 5 mm telescope instead of 10 mm telescope (mini laparoscopic cholecystectomy - MLC). Forty patients were randomised to each group. Mean operating time, intraoperative and postoperative complications, mean period to resume walking, eating and return to normal activities and mean hospital stay were similar in the two groups. The level of postoperative pain was significantly lower in the MLC group. Patients who underwent MLC required a significantly lower dose of analgesics. In conclusion mini laparoscopic cholecystectomy is a feasible and safe procedure with less postoperative pain and better cosmesis and without increased complications.
自1987年引入以来，胆囊切除术技术一直在不断发展。外科医生减小了端口尺寸或数量，或两者同时减小，以改善术后疼痛控制、更快恢复活动能力并获得更好的美容效果。因此，本研究旨在比较标准的四孔腹腔镜胆囊切除术（LC）与使用5毫米望远镜而非10毫米望远镜的三孔腹腔镜胆囊切除术（迷你腹腔镜胆囊切除术 - MLC）。每组随机分配40名患者。两组的平均手术时间、术中及术后并发症、恢复行走、进食和恢复正常活动的平均时间以及平均住院时间相似。MLC组术后疼痛程度明显较低。接受MLC的患者所需镇痛药剂量明显较低。总之，迷你腹腔镜胆囊切除术是一种可行且安全的手术，术后疼痛较轻，美容效果更好，且并发症没有增加。
