Department of Hepatobiliary Surgery, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Linhai, China.
J Int Med Res. 2020 Dec;48(12):300060520980589. doi: 10.1177/0300060520980589.
Conventional laparoscopic cholecystectomy (CLC) is usually performed with four incisions. Minimally invasive surgery for gallbladder disease with less pain and smaller scars has become increasingly popular. This study reported a new, two-incision laparoscopic cholecystectomy (TILC) using conventional instruments.
In this prospective study, 43 patients were recruited to undergo TILC and were compared with 43 historical cases undergoing CLC. We evaluated operative time, postoperative pain, cosmesis and complications.
There was no significant difference in gender, age, body mass index, bile duct damage, blood loss and postoperative hospital stay between the two groups. The mean operation time was longer with TILC than with CLC, but the difference was not statistically different. Postoperative pain scores were significantly lower with TILC than with CLC. The mean cosmetic satisfaction score was significantly higher with TILC than that with CLC. There was no significant difference in the incidence of complications between the two groups.
Our work demonstrates that TILC generates less postoperative pain and significantly improved cosmesis for patients. TILC is a safe and feasible alternative to CLC.
传统腹腔镜胆囊切除术（CLC）通常需要进行四个切口。微创治疗胆囊疾病，减少疼痛和更小的疤痕，已变得越来越受欢迎。本研究报道了一种新的、使用传统器械的两切口腹腔镜胆囊切除术（TILC）。
在这项前瞻性研究中，招募了 43 名患者进行 TILC，并与 43 名接受 CLC 的历史病例进行了比较。我们评估了手术时间、术后疼痛、美容效果和并发症。
两组间的性别、年龄、体重指数、胆管损伤、出血量和术后住院时间无显著差异。TILC 的平均手术时间长于 CLC，但差异无统计学意义。TILC 的术后疼痛评分明显低于 CLC。TILC 的美容满意度评分明显高于 CLC。两组并发症的发生率无显著差异。
我们的工作表明，TILC 术后疼痛减轻，美容效果显著改善。TILC 是 CLC 的一种安全可行的替代方法。
