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首页> 美国卫生研究院文献>International Journal of Clinical and Experimental Medicine >Comparison of transumbilical single-port laparoscopic cholecystectomy and fourth-port laparoscopic cholecystectomy
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Comparison of transumbilical single-port laparoscopic cholecystectomy and fourth-port laparoscopic cholecystectomy

机译：经脐单口腹腔镜胆囊切除术与四口腹腔镜胆囊切除术的比较

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摘要

This work aims to compare the curative effect of transumbilical single-port laparoscopic cholecystectomy (TUSPLC) and four-port laparoscopic cholecystectomy (FPLC). 200 patients with cholecystolithiasis were enrolled in this study. They were randomly divided into TUSPLC group and FPLC group, 100 cases in each group, and the TUSPLC and FPLC was performed, respectively. The surgical time, intraoperative complication, conversions rate, postoperative pain, postoperative analgesic drug use, incision infection, postoperative hospitalization time and postoperative cosmetic results in two groups were compared. The total conversion rate, conversion rate with Nassar grade II, and conversion rate with Nassar grade III in TUSPLC group were significantly higher than FPLC group (P < 0.01), and the incision cosmetic result after 1 month in TUSPLC group was obviously better than FPLC group (P < 0.01), but the surgical time in TUSPLC group was significantly longer than FPLC group (P < 0.01). There was no significant difference of incision infection, intraoperative complication, and postoperative hospitalization time, incision pain in postoperative first and second day, postoperative use of analgesia drug and incision cosmetic result on discharge day between two groups (P > 0.05). TUSPLC has obvious advantage in treatment of Nassar grade I patients with cholecystolithiasis. It can be used as a supplement for standard laparoscopic gallbladder surgery. It is safe and feasible, without abdominal scar, thus achieving to excellent cosmetic result and high satisfaction in patients.
机译：这项工作旨在比较经脐带单端口腹腔镜胆囊切除术（TUSPLC）和四端口腹腔镜胆囊切除术（FPLC）的疗效。本研究招募了200例胆囊结石症患者。将他们随机分为TUSPLC组和FPLC组，每组100例，分别进行TUSPLC和FPLC。比较两组的手术时间，术中并发症，转换率，术后疼痛，术后镇痛药物使用，切口感染，术后住院时间和术后美容效果。 TUSPLC组的总转化率，纳赛尔Ⅱ级转化率和纳赛尔Ⅲ级转化率明显高于FPLC组（P <0.01），TUSPLC组1个月后的切口整容效果明显优于FPLC。组（P <0.01），但TUSPLC组的手术时间明显长于FPLC组（P <0.01）。两组切口切口感染，术中并发症，术后住院时间，术后第一，二天切口疼痛，出院当天术后使用止痛药及切口美容效果无显着差异（P> 0.05）。 TUSPLC在治疗Nassar I级胆囊结石症患者中具有明显优势。它可以用作标准腹腔镜胆囊手术的补充。它是安全可行的，没有腹部疤痕，因此可以达到出色的美容效果和患者的高度满意度。

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