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首页> 外文期刊>Surgical Endoscopy >A retrospective wound review of standard four-port laparoscopic cholecystectomy: is there need for single-port laparoscopic surgery?
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A retrospective wound review of standard four-port laparoscopic cholecystectomy: is there need for single-port laparoscopic surgery?

机译：标准四孔腹腔镜胆囊切除术的创口回顾：是否需要单孔腹腔镜手术？

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摘要

BACKGROUND: This study was designed to assess the satisfaction or otherwise of a proportion of the U.K. population who have undergone standard four-port laparoscopic cholecystectomy within the past 18 months. The results should indicate whether there is potential demand for a new, improved approach to surgery. METHODS: Patients who underwent laparoscopic cholecystectomy between October 2008 and October 2009 in two geographically separated general hospitals were identified from hospital databases. Notes were reviewed to confirm the technique and lack of conversion to an open procedure. Those who had immediate complications were excluded. A telephone questionnaire was conducted to answer questions related to long-term cosmetic and general satisfaction of the current procedure. RESULTS: Of the patients surveyed, 93% were happy or extremely happy with the current procedure, 48% experienced some wound-related issues (pain, infection), and 65% of those were at the umbilicus (a possible reflection of location and retrieval site for gallbladder). Cosmesis was rated less important than hospital cleanliness and experience of the surgeon. CONCLUSIONS: Overall satisfaction was high with the existing technique. The high rate of umbilical wound problems is an issue that will not be eradicated by introduction of single-port laparoscopic surgery.
机译：背景：本研究旨在评估过去18个月中接受过标准四端口腹腔镜胆囊切除术的英国部分人群的满意度或其他满意度。结果应表明是否有可能需要一种新的，改进的手术方法。方法：从医院数据库中识别出在2008年10月至2009年10月期间在两家地理上分开的综合医院进行了腹腔镜胆囊切除术的患者。审查笔记，以确认该技术和缺乏转换为开放程序。那些有立即并发症的人被排除在外。进行了电话调查问卷，以回答与长期美容和当前程序的总体满意度有关的问题。结果：在接受调查的患者中，有93％对当前手术感到满意或非常满意，有48％经历了一些与伤口相关的问题（疼痛，感染），其中65％位于脐部（可能反映了位置和恢复胆囊部位）。美容化妆品的重要性不及医院清洁度和外科医生的经验。结论：对现有技术的总体满意度很高。脐带伤口问题的高发率是无法通过引入单端口腹腔镜手术而根除的问题。

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