Fransen Sofie, Stassen L, Bouvy N
Department of Surgery, Maastricht University Medical Centre, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
J Minim Access Surg. 2012 Jan;8(1):1-5. doi: 10.4103/0972-9941.91771.
The aim of this study was to establish the incidence of postoperative complications after single incision laparoscopic cholecystectomy.
A literature search was performed using the PubMed database. Search terms included single incision laparoscopic cholecystectomy, single port cholecystectomy, minimal invasive laparoscopic cholecystectomy, nearly scarless cholecystectomy and complications.
A total of 38 articles meeting the selection criteria were reviewed. A total of 1180 patients were selected to undergo single incision laparoscopic cholecystectomy. Introduction of extra ports was necessary in 4% of the patients. Conversion to open cholecystectomy was required in 0.4% of the patients. Laparoscopic cholangiography was attempted in 4% of the patients. The incidence of major complications requiring surgical intervention or ERCP with stenting was 1.7%. The mortality rate was zero.
Although the number of complications after single incision laparoscopic cholecystectomy seems favourable, it is too early to conclude that single incision laparoscopic cholecystectomy is a safe procedure. Large randomised controlled trials will be necessary to further establish its safety.
本研究的目的是确定单孔腹腔镜胆囊切除术后并发症的发生率。
使用PubMed数据库进行文献检索。检索词包括单孔腹腔镜胆囊切除术、单通道胆囊切除术、微创腹腔镜胆囊切除术、近乎无痕胆囊切除术及并发症。
共纳入38篇符合选择标准的文章。共有1180例患者接受单孔腹腔镜胆囊切除术。4%的患者需要额外增加端口。0.4%的患者需要转为开腹胆囊切除术。4%的患者尝试进行腹腔镜胆管造影。需要手术干预或内镜逆行胰胆管造影（ERCP）及支架置入的严重并发症发生率为1.7%。死亡率为零。
虽然单孔腹腔镜胆囊切除术后并发症的数量似乎较好，但现在就得出单孔腹腔镜胆囊切除术是一种安全手术的结论还为时过早。需要进行大型随机对照试验以进一步确定其安全性。
