中国普通外科杂志2017，Vol.26Issue(2)：166-171,6.DOI:10.3978/j.issn.1005-6947.2017.02.006
Minilap辅助经脐单孔腹腔镜下胆囊切除术的临床应用研究
Clinical application of Minilap-assisted single-port transumbilical laparoscopic cholecystectomy
摘要
Abstract
Objective:To investigate the feasibility of Minilap-assisted single-port transumbilical laparoscopic cholecystectomy.Methods:Forty patients with gallbladder stones or gallbladder polyps admitted in the First Department of General Surgery of the First Affiliated Hospital,Baotou Medical College,between January and December of 2015 were randomly selected,and then divided into control group and observation group according to their preferences,with 20 cases in each group.Patients in control group underwent single-port transumbilical laparoscopic cholecystectomy and those in observation group received Minilap-assisted single-port transumbilical laparoscopic cholecystectomy.The main clinical variables between the two groups of patients were compared.Results:Laparoscopic surgery was successfully performed in all 40 patients,without any open conversion.In observation group compared with control group,the average operative time (29.90 min vs.19.10 min,P=0.000)and intraoperative blood loss (4.90 mL vs.8.05 mL,P=0.000) were significantly decreased,while other variables showed no significant difference (all P＞0.05),including the length of postoperative hospital stay,postoperative pain scores,analgesic consumption,and degree of patient satisfaction for surgical scars.Postoperative followup was conducted for 10 to 18 months,all patients recovered uneventfully,and no obvious scar was noted in the puncture site of Minilap.Conclusion:Minilap-assisted single-port transumbilical laparoscopic cholecystectomy is safe and feasible,has favorable cosmetic results and it helps to reduce surgical difficult,so it is recommended to be used in clinical practice.关键词
胆囊切除术,腹腔镜/自然腔道内镜手术/最小侵入性外科手术Key words
Cholecystectomy, Laparoscopic/Natural Orifice Endoscopic Surgery, Minimally Invasive Surgical Procedures分类
医药卫生引用本文复制引用
吴攀,李瑞斌,万智恒..Minilap辅助经脐单孔腹腔镜下胆囊切除术的临床应用研究[J].中国普通外科杂志,2017,26(2):166-171,6.基金项目
内蒙古包头市社会发展科技支撑项目(2015S2004-5-20). （2015S2004-5-20）
