合艾医院单孔与传统多孔腹腔镜胆囊切除术的对比研究
Single-incision versus conventional multiple-incision laparoscopic cholecystectomy at Hat Yai Hospital.
作者信息
Khaimook Araya
机构信息
Department of Surgery, Hat Yai Hospital, Hat Yai, Songkhla, Thailand.
出版信息
J Med Assoc Thai. 2012 Jun;95(6):771-4.
OBJECTIVE
To compare single-incision laparoscopic cholecystectomy (SILC) with conventional multiple-incision laparoscopic cholecystectomy (CMILC).
MATERIAL AND METHOD
The data were retrospectively collected for patients undergoing SILC, and CMILC at Hat Yai Hospital between September 2009 and October 2011. The operative time, hospital stay, postoperative pain, number of narcotic doses, conversion to open surgery, and postoperative complication were analyzed.
RESULTS
Of SILC/CMILC groups, 107/108 subjects, the mean operative time was 81.1/74.4 minutes, and SILC was statistically longer (p < 0.001). Among SILC/CMILC group, 9/0 cases required the extra ports, as well as 2/5 cases of conversion to open surgery. The mean length of stay of SILC/CMILC was statistically longer of 4.6/3.7 days (p = 0.04), in contrast with the mean postoperative pain at 8 hours was statistically lower of 3.4/4.2 (p = 0.03). Both groups, the postoperative complication had similar proportion.
CONCLUSION
Preliminary results of the present study showed SILC to be safe compared with CMILC, although operative times were longer.
目的
比较单孔腹腔镜胆囊切除术（SILC）与传统多孔腹腔镜胆囊切除术（CMILC）。
材料与方法
回顾性收集2009年9月至2011年10月在合艾医院接受SILC和CMILC治疗的患者的数据。分析手术时间、住院时间、术后疼痛、麻醉剂使用剂量、中转开腹手术情况及术后并发症。
结果
在SILC/CMILC组中，分别有107/108例患者，平均手术时间为81.1/74.4分钟，SILC组在统计学上更长（p < 0.001）。在SILC/CMILC组中，分别有9/0例需要额外端口，以及2/5例中转开腹手术。SILC/CMILC组的平均住院时间在统计学上更长，分别为4.6/3.7天（p = 0.04），相比之下，术后8小时的平均疼痛程度在统计学上更低，分别为3.4/4.2（p = 0.03）。两组术后并发症比例相似。
结论
本研究的初步结果表明，与CMILC相比，SILC是安全的，尽管手术时间更长。
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