DAI Chun, TAN Ming, YU Yongjin. Transumbilical single-port versus three-port laparoscopic cholecystectomy for cholecystolithiasis patients[J]. Journal of Clinical Medicine in Practice, 2019, 23(18): 87-90. DOI: 10.7619/jcmp.201918025
Citation: DAI Chun, TAN Ming, YU Yongjin. Transumbilical single-port versus three-port laparoscopic cholecystectomy for cholecystolithiasis patients[J]. Journal of Clinical Medicine in Practice, 2019, 23(18): 87-90. DOI: 10.7619/jcmp.201918025

Transumbilical single-port versus three-port laparoscopic cholecystectomy for cholecystolithiasis patients

More Information
  • Received Date: June 30, 2019
  • Accepted Date: September 01, 2019
  • Available Online: February 28, 2021
  • Published Date: September 27, 2019
  •   Objective  To investigate the clinical effect of transumbilical single-port versus three-port laparoscopic cholecystectomy for cholecystolithiasis patients.
      Methods  A total of 60 patients who underwent cholecystectomy in our hospital were randomly divided into control group and research group. The control group was given traditional laparoscopic cholecystectomy, and the research group was given transumbilical single-port laparoscopic cholecystectomy. The therapeutic effects of the two groups were compared and analyzed.
      Results  After different surgical treatments, the study group has significantly better results in intraoperative bleeding volume, postoperative hospital stay and recovery time of gastrointestinal function than the control group, and longer operation time than that of the control group (P < 0.05); the analgesic rates of the two groups showed significant differences between the two groups (P < 0.05). The scores of incision aesthetics and pain in the study group was significantly better than that in the control group (P < 0.05).
      Conclusion  Compared with three-port laparoscopic cholecystectomy, transumbilical single-port laparoscopic cholecystectomy for cholecystolithiasis patients has higher operational safety and satisfaction, and can relieve postoperative pain.
  • [1]
    范宇华. 经脐单孔与三孔法腹腔镜胆囊切除术治疗结石性胆囊炎效果比较[J]. 中国普通外科杂志, 2015, 24(9): 1338-1341. https://www.cnki.com.cn/Article/CJFDTOTAL-ZPWZ201509034.htm
    [2]
    Lockie E B, Banting S P, Hui A Y S. Handlebar versus gallbladder: A case of gallbladder rupture in blunt thoracoabdominal trauma without other major injury[J]. Trauma Case Rep, 2019, 23: 100238. doi: 10.1016/j.tcr.2019.100238
    [3]
    辛乐, 叶进军. 经脐单孔腹腔镜胆囊切除术和三孔法腹腔镜胆囊切除术的应用对比[J]. 泰山医学院学报, 2018, 39(7): 798-800. doi: 10.3969/j.issn.1004-7115.2018.07.025
    [4]
    王青峰, 张明, 汪源, 等. 腹腔镜下三孔法胆囊切除术治疗急性胆囊炎患者的临床疗效及手术指标观察[J]. 贵州医药, 2018, 42(9): 1095-1097. doi: 10.3969/j.issn.1000-744X.2018.09.027
    [5]
    田宋君, 王卫星. 腹腔镜胆囊切除术中运用单孔腹腔镜与三孔腹腔镜的疗效对比研究[J]. 肝胆外科杂志, 2016, 24(5): 389-391, 395. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWZ201605019.htm
    [6]
    Boškoski I, Konikoff F M, Ben Muvhar S, et al. A novel gallbladder umbrella stent (the ShaiTMStent) for prevention of stone migration and impaction: results on feasibility and short-term safety in a Porcine model[J]. Surg Endosc, 2019, 33(9): 3050-3055. doi: 10.1007/s00464-019-06993-7
    [7]
    张宁. 用经脐单孔腹腔镜胆囊切除术与三孔腹腔镜胆囊切除术治疗胆囊疾病的效果对比[J]. 当代医药论丛, 2015, 13(22): 173-174. doi: 10.3969/j.issn.2095-7629.2015.22.147
    [8]
    李琦, 吴海滨. 经脐单孔腹腔镜胆囊切除术与传统三孔法腹腔镜胆囊切除术的疗效比较[J]. 临床肝胆病杂志, 2017, 33(9): 1758-1761. doi: 10.3969/j.issn.1001-5256.2017.09.026
    [9]
    胡荣生, 于伟, 李秋波. 不同术式腹腔镜下胆囊切除术对患者预后及生活质量的影响的观察和分析[J]. 航空航天医学杂志, 2016, 27(4): 412-415. doi: 10.3969/j.issn.2095-1434.2016.04.004
    [10]
    胡俊, 刘双海, 贾竞超, 等. 经脐单孔腹腔镜胆囊切除术转为多孔法腹腔镜胆囊切除术原因分析[J]. 中国临床医生, 2013, 41(10): 39-40. doi: 10.3969/j.issn.1008-1089.2013.10.015
    [11]
    傅志红, 戴文化, 吕翔. 腹腔镜传统三孔、经脐单孔与经脐三孔的胆囊切除术疗效比较[J]. 现代实用医学, 2015, 27(3): 348-349. doi: 10.3969/j.issn.1671-0800.2015.03.042
    [12]
    Boškoski I, Konikoff F M, Ben Muvhar S, et al. A novel gallbladder umbrella stent (the ShaiTMStent) for prevention of stone migration and impaction: results on feasibility and short-term safety in a Porcine model[J]. Surg Endosc, 2019, 33(9): 3050-3055. doi: 10.1007/s00464-019-06993-7
    [13]
    杨志勇. 三孔法胆囊切除术对早期急性胰腺炎合并胆囊结石患者的疗效及ALT+AST指标比较分析[J]. 当代医学, 2019, 25(9): 162-163. doi: 10.3969/j.issn.1009-4393.2019.09.075
    [14]
    胡浩, 金昌国, 吴振宇, 等. 经右上腹免气腹单孔法与传统三孔法保胆取石术的临床对比研究[J]. 肝胆外科杂志, 2019, 27(1): 43-46. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWZ201901011.htm
    [15]
    Liu X L, Huang J, Liu L G, et al. MPZL1 is highly expressed in advanced gallbladder carcinoma and promotes the aggressive behavior of human gallbladder carcinoma GBC-SD cells[J]. Mol Med Rep, 2019, 20(3): 2725-2733. http://www.researchgate.net/publication/334548629_MPZL1_is_highly_expressed_in_advanced_gallbladder_carcinoma_and_promotes_the_aggressive_behavior_of_human_gallbladder_carcinoma_GBC-SD_cells/download
    [16]
    张建华. 腹腔镜胆囊切除术治疗急性胆结石性胆囊炎护理效果分析[J]. 中外女性健康研究, 2019(4): 160-161. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWVJ201904109.htm
    [17]
    高建忠. 用经脐单孔腹腔镜胆囊切除术治疗胆囊结石合并胆囊炎的效果探讨[J]. 当代医药论丛, 2019, 17(13): 49-51. doi: 10.3969/j.issn.2095-7629.2019.13.030
    [18]
    张运栋. 经脐单孔腹腔镜胆囊切除术治疗结石性胆囊炎患者临床研究[J]. 实用中西医结合临床, 2019, 19(6): 87-88. https://www.cnki.com.cn/Article/CJFDTOTAL-SZXL201906045.htm
    [19]
    周超阳, 张家春. 改良两孔法腹腔镜胆囊切除术和三孔法腹腔镜胆囊切除术的优劣差异[J]. 中国医药科学, 2019, 9(14): 189-192. doi: 10.3969/j.issn.2095-0616.2019.14.057
    [20]
    王志军. 腹腔镜下三孔法胆囊切除术与传统手术治疗急性胆囊炎的临床效果比较[J]. 河南医学研究, 2017, 26(10): 1847-1848. doi: 10.3969/j.issn.1004-437X.2017.10.078
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