肝胆胰外科杂志2025，Vol.37Issue(6)：361-365,371,6.DOI:10.11952/j.issn.1007-1954.2025.06.001
三孔腹腔镜胆囊切除术的精细化多维度技术升级方案及其临床价值
A refined multi-dimensional technical upgrade scheme for three-port laparoscopic cholecystectomy and its clinical value
摘要
Abstract
Objective To evaluate the clinical value of a refined multi-dimensional technical upgrade scheme for three-port laparoscopic cholecystectomy(LC).Methods A retrospective analysis was conducted on 100 patients,who underwent LC from Jan.2021 to Feb.2023 in the First Affiliated Hospital of Wenzhou Medical University.Patients were divided into the refined three-port group(n=50)and the traditional three-port group(n=50).Technical upgrades included pre-incisional transversus abdominis plane block,functional incision remodeling,simplified gallbladder traction,and absorbable suture closure.Outcomes including operation time,intraoperative blood loss,pain scores,complications,incision satisfaction,residual foreign bodies,and dropout rates of ambulatory surgery were compared between the two groups.Results The refined three-port group showed smaller subxiphoid incisions[(4.9±0.2)mm vs(10.9±0.8)mm],lower postoperative VAS pain scores[6 h:(2.9±0.7)vs(3.8±0.5);24 h:(2.1±0.3)vs(2.9±0.7)],the differences were statistically significant(P<0.05).No residual foreign body was observed in the refined three-port group,while 1 case of Hem-o-lok clip migration occurred in the traditional three-port group.The refined three-port group also showed lower dropout rates of ambulatory surgery(8.00%vs 42.00%,P<0.001)and lower hospitalization costs[(11095.4±1388.5)CNY vs(12340.8±1716.1)CNY],the differences were statistically significant(P<0.05).Conclusion The refined multi-dimensional technique for three-port LC reduces surgery trauma,eliminates foreign body retention,and optimizes postoperative recovery,demonstrating significant clinical benefits for ambulatory surgery and primary healthcare settings.关键词
腹腔镜胆囊切除术/胆囊悬吊/可吸收线/三孔法手术/日间手术Key words
laparoscopic cholecystectomy/gallbladder suspension/absorbable line/three-port surgery/ambulatory surgery分类
临床医学引用本文复制引用
陈云志,郑孺,孔鸿儒,单云峰,张启瑜..三孔腹腔镜胆囊切除术的精细化多维度技术升级方案及其临床价值[J].肝胆胰外科杂志,2025,37(6):361-365,371,6.基金项目
温州市科技局基础性科研项目(Y20210943). （Y20210943）
