Wu Shuodong, Li Yongnan, Tian Yu, Li Min
Department of Biliary & Vascular Surgery, Shengjing Hospital of China Medical University, Shenyang, China, Department of Biliary & Vascular Surgery, Shengjing Hospital of China Medical University, San Hao Street Shenyang City, Liaoning Province, China.
Department of Biliary & Vascular Surgery, Shengjing Hospital of China Medical University, Shenyang, China.
JSLS. 2014 Apr-Jun;18(2):246-51. doi: 10.4293/108680813X13753907291512.
The aim of this report is to document the feasibility and safety of umbilical single-incision laparoscopic liver cyst unroofing in the treatment of simple hepatic cysts in a retrospective case-control study. We also introduce some operative skills for single-incision laparoscopic surgery.
From May 2009 to July 2011, 15 patients underwent umbilical single-incision laparoscopic liver cyst unroofing. All the clinical data were retrospectively analyzed. Another 15 simple liver cyst patients who received standard laparoscopic liver cyst unroofing at our hospital during the same period--with a similar age, nature of the cyst, and position to the single-incision group--were selected to undergo a case-control study. The operative time, blood loss, recovery time of gastrointestinal function, volume of postoperative drainage, postoperative drainage time, postoperative hospitalization time, and postoperative recurrence rate were compared between the two groups.
There was no significant difference between the single-incision group and standard group in operative time (58.3 ± 7.43 minutes vs 58.7 ± 6.14 minutes), blood loss (17.0 ± 3.19 mL vs 14.7 ± 1.86 mL), recovery time of gastrointestinal function (2.5 ± 0.22 days vs 2.4 ± 0.22 days), volume of postoperative drainage (408.0 ± 119.5 mL vs 450.0 ± 89.5 mL), postoperative drainage time (2.6 ± 0.55 days vs 3.7 ± 0.59 days), or postoperative hospitalization time (4.8 ± 0.44 days vs 5.2 ± 0.56 days) (P > .05). The postoperative follow-up period was 1 to 24 months.
Compared with standard laparoscopic liver cyst unroofing, single-incision laparoscopic liver cyst unroofing shows no significant difference during the overall treatment process. In addition to the advantages of less trauma, more rapid recovery, and shorter hospital stay, single-incision laparoscopic surgery can reach the effect of "no scar" and can be safely and effectively carried out.
本报告旨在通过一项回顾性病例对照研究，记录脐单孔腹腔镜肝囊肿开窗术治疗单纯性肝囊肿的可行性和安全性。我们还介绍了单孔腹腔镜手术的一些操作技巧。
2009年5月至2011年7月，15例患者接受了脐单孔腹腔镜肝囊肿开窗术。对所有临床资料进行回顾性分析。另选取同期在我院接受标准腹腔镜肝囊肿开窗术的15例单纯性肝囊肿患者（年龄、囊肿性质和位置与单孔组相似）进行病例对照研究。比较两组的手术时间、出血量、胃肠功能恢复时间、术后引流量、术后引流时间、术后住院时间和术后复发率。
单孔组与标准组在手术时间（58.3±7.43分钟对58.7±6.14分钟）、出血量（17.0±3.19毫升对14.7±1.86毫升）、胃肠功能恢复时间（2.5±0.22天对2.4±0.22天）、术后引流量（408.0±119.5毫升对450.0±89.5毫升）、术后引流时间（2.6±0.55天对3.7±0.59天）或术后住院时间（4.8±0.44天对5.2±0.56天）方面差异均无统计学意义（P＞0.05）。术后随访1至24个月。
与标准腹腔镜肝囊肿开窗术相比，脐单孔腹腔镜肝囊肿开窗术在整个治疗过程中无显著差异。单孔腹腔镜手术除具有创伤小、恢复快、住院时间短等优点外，还能达到“无瘢痕”效果，且可安全有效地实施。
