Ikeda Naoya, Ueno Masato, Kanamura Tetsuhiro, Kojima Yu, Nakagawa Kenji, Ishioka Kohei, Sasaki Yoshiyuki, Sho Masayuki, Sakaguchi Hiroshi, Hidaka Shoko, Ochi Tomoko, Nakajima Yoshiyuki
Department of Surgery, Nara Prefectural Mimuro Hospital, Nara, Japan.
Surg Laparosc Endosc Percutan Tech. 2013 Feb;23(1):33-6. doi: 10.1097/SLE.0b013e31827577f8.
The aim of this study was to evaluate the safety and feasibility for single-incision laparoscopic cholecystectomy (SILC) by retrospective comparison with conventional laparoscopic cholecystectomy (CLC) in a local community hospital.
SILC was introduced and performed in 57 patients for benign gallbladder diseases. Their clinical data were compared with those of 62 patients treated with CLC. They included patient demographic data and operative outcomes.
SILC was attempted in 57 patients and 52 cases (91.2%) were successfully completed. There were no statistical differences between the 2 groups in terms of operative time, blood loss, and postoperative complications. The length of hospital stay in the SILC group was significantly shorter compared with CLC (P < 0.0001).
SILC has been successfully introduced in a local community hospital. The safety and feasibility was also confirmed. The SILC procedure may become 1 standard option for the treatment of benign gallbladder diseases.
本研究旨在通过在当地社区医院将单孔腹腔镜胆囊切除术（SILC）与传统腹腔镜胆囊切除术（CLC）进行回顾性比较，评估其安全性和可行性。
对57例患有良性胆囊疾病的患者实施了SILC。将他们的临床数据与62例接受CLC治疗的患者的数据进行比较。这些数据包括患者人口统计学数据和手术结果。
57例患者尝试进行SILC，52例（91.2%）成功完成。两组在手术时间、出血量和术后并发症方面无统计学差异。与CLC相比，SILC组的住院时间明显更短（P < 0.0001）。
SILC已在当地社区医院成功开展。其安全性和可行性也得到了证实。SILC手术可能成为治疗良性胆囊疾病的一种标准选择。
