目的：探讨经脐单孔腹腔镜与普通腹腔镜胆囊切除术后脐部感染的发生率差异及原因分析。方法回顾分析2011年1月至2014年12月采用常规器械行经脐单孔腹腔镜胆囊切除术435例，普通腹腔镜胆囊切除术103例。分析两种方式术后脐部切口感染的发生，及感染脐部创面分泌物培养结果。结果435例单孔路径手术，术后脐部感染发生23例。103例普通腹腔镜手术，术后脐部感染发生15例，两组脐部感染的发生差异有统计学意义（P<0.05），单孔路径下的腹腔镜胆囊切除术后脐部感染的发率明显低于普通腹腔镜。结论在熟练的器械操作条件下，经脐单孔路径的腹腔镜胆囊切除术术后感染的发生率明显低于普通腔镜手术，说明单孔路径手术不仅损伤小，操作方便，更有利于降低脐部感染的发生。%Objectiveto explore the difference of navel infection between umbilical single-hole and normal laparoscopic cholecystectomy. Methodsretrospective analysis from January 2011 to December 2014,435 cases of laparoscopic cholecystectomy through the umbilical puckering, 103 cases of ordinary laparoscopic cholecystectomy. Analysis the differences of navel incision infection between the two groups after surgery. Results23 patients of single path surgery group occurred navel infection while 15 cases for the other group(P<0.05).Conclusions In skilled equipment operating conditions,the occurrence of postoperative infection of the single-arch laparoscopic cholecystectomy is significantly lower than the ordinary endoscopy surgery,which demonstrated that this surgery path is not only safety,but also easy to operate,and more conducive to inhibit navel infection.
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