Rizzuto Antonia, Bozzarello Cristina, Andreuccetti Jacopo, Amaddeo Angela, Iannello Antonio Maria, Sagnelli Carlo, Cirocchi Roberto, Cuccurullo Diego, Pignata Giusto, Corcione Francesco
Department of Medical and Surgical Sciences, Magna Græcia University, Catanzaro, Italy.
Department of General Surgery, Civil Hospital of Brescia, Brescia, Italy.
Front Surg. 2024 Apr 22;11:1390038. doi: 10.3389/fsurg.2024.1390038. eCollection 2024.
Transumbilical laparoscopy (TUL) has emerged as a promising technique for establishing pneumoperitoneum in laparoscopic cholecystectomy, offering potential safety, feasibility, and clinical benefits. This retrospective multicentre study aims to evaluate the efficacy and outcomes of TUL in the management of gallbladder diseases.
A retrospective analysis was conducted on a cohort of 2,543 patients who underwent TUL between 2011 and 2021 across various medical institutions in Italy. Data collection included demographic, clinical, intraoperative, and postoperative parameters. Standardized protocols were followed for preoperative and postoperative management. The TUL technique involved precise anatomical incision and trocar placement.
The study demonstrated favorable outcomes associated with TUL, including a low conversion rate to open surgery (0.55%), minimal intraoperative complications (0.16%), and short hospital stays (average 2.4 days). The incidence of incisional hernias was notably low (0.4%). Comparison with existing literature revealed consistent findings and provided unique insights into the advantages of TUL.
Despite limitations, such as the absence of a control group and the retrospective nature of the study, the findings contribute valuable insights to the literature. They inform surgical decision-making and advance patient care in laparoscopic cholecystectomy for gallbladder diseases.
Transumbilical laparoscopy shows promise as a safe and feasible technique for establishing pneumoperitoneum in laparoscopic cholecystectomy. The study's findings support its clinical benefits, including low conversion rates, minimal complications, and short hospital stays. Further research, including prospective studies with control groups, is warranted to validate these results and optimize patient outcomes.
经脐腹腔镜检查（TUL）已成为在腹腔镜胆囊切除术中建立气腹的一项有前景的技术，具有潜在的安全性、可行性和临床益处。这项回顾性多中心研究旨在评估TUL在胆囊疾病管理中的疗效和结果。
对2011年至2021年间在意大利各医疗机构接受TUL的2543例患者进行回顾性分析。数据收集包括人口统计学、临床、术中及术后参数。术前和术后管理遵循标准化方案。TUL技术包括精确的解剖切口和套管针置入。
该研究表明TUL具有良好的结果，包括开腹手术转化率低（0.55%）、术中并发症极少（0.16%）和住院时间短（平均2.4天）。切口疝的发生率显著较低（0.4%）。与现有文献的比较显示了一致的结果，并提供了关于TUL优势的独特见解。
尽管存在局限性，如缺乏对照组和研究的回顾性性质，但研究结果为文献提供了有价值的见解。它们为手术决策提供了参考，并推动了胆囊疾病腹腔镜胆囊切除术中的患者护理。
经脐腹腔镜检查显示出作为腹腔镜胆囊切除术中建立气腹的一种安全可行技术的前景。该研究结果支持其临床益处，包括低转化率、极少并发症和短住院时间。需要进一步的研究，包括有对照组的前瞻性研究，以验证这些结果并优化患者结局。
