单孔腹腔镜胆囊切除术治疗良性胆囊疾病的临床疗效研究

肝脏 ›› 2025, Vol. 30 ›› Issue (5): 727-730.

单孔腹腔镜胆囊切除术治疗良性胆囊疾病的临床疗效研究

于海洋, 陈志群, 单凯, 魏维, 周巍, 陈树荣

224000 江苏盐城市亭湖区人民医院普外科(于海洋,陈志群,单凯,魏维);护理(周巍,陈树荣)

收稿日期:2024-04-12 出版日期:2025-05-31 发布日期:2025-07-04
基金资助:
盐城市卫健委2023年度医学科研立项项目(YK2023143)

Clinical efficacy of single hole laparoscopic cholecystectomy for the treatment of gallstones

YU Hai-yang¹, CHEN Zhi-qun¹, SHAN Kai¹, WEI Wei¹, ZHOU Wei², CHEN Shu-rong²

1. General Surgery Department,People's Hospital of Tinghu District,Yancheng 224000,China;
2. Nursing,People's Hospital of Tinghu District,Yancheng 224000,China

Received:2024-04-12 Online:2025-05-31 Published:2025-07-04

摘要/Abstract

摘要： 目的评估腹腔镜下行单孔胆囊切除的效果。方法选取2023年6月1日—2023年12月30日在盐城市亭湖区人民医院行胆囊切除的患者共100例,通过随机数字表法将所有患者分为观察组和对照组,各50例,给予观察组患者单孔腹腔镜胆囊切除术,给予对照组患者多孔(三孔或者四孔)腹腔镜胆囊切除术,比较两组患者手术时间、手术过程中的出血量、住院天数、住院期间所产生的费用、术后切口的疼痛评分及术后切口疤痕的美容效果,同时比较两组患者的并发症(切口感染、腹腔出血、胆漏、胆道损伤及内脏损伤)发生率及满意度。结果观察组和对照组的手术时间分别为(40.73±12.34)和(25.81±10.37)min,观察组术中出血量、住院天数和住院费用分别为(9.74±2.87)mL、(5.89±1.34)天和(13217±235.21)元,对照组分别为(14.37±2.93)mL、(7.83±1.98)天和(11874±237.83)元,差异有统计学意义(均P<0.05)。结论相较于常规腹腔镜胆囊切除术,单孔腹腔镜胆囊切除手术能够降低患者术后并发症发生率和切口疼痛,且切口疤痕美容效果更好。

关键词: 良性胆囊疾病, 单孔腹腔镜胆囊切除术, 常规腹腔镜胆囊切除术

Abstract: Objective To evaluate the therapeutic effect of single-incision laparoscopic cholecystectomy (SILC) on benign gallbladder diseases. Methods The study sample consisted of 100 patients who underwent cholecystectomy at the People's Hospital of Tinghu District, Yancheng City, from June 1, 2023, to December 30, 2023. All patients were divided into an observation group and a control group using a random number table method, with 50 cases in each group.The observation group received SILC, while the control group underwent multi-port (three or four ports) laparoscopic cholecystectomy. The comparison between the two groups focused on operative duration, blood loss during surgery, hospital stay length, costs of hospitalization, post-surgery pain levels, appearance of surgical scars, occurrence of complications like wound infection, bleeding inside the abdomen, bile leaks, damage to the biliary system, and internal organ injuries, alongside overall patient satisfaction. Results The operative times for the observation and control groups were (40.73±12.34) and (25.81±10.37) minutes, respectively. For the observation group, intraoperative blood loss was (9.74±2.87) mL, hospital stay was (5.89±1.34) days, and costs were (13217±235.21) CNY. In contrast, the control group had (14.37±2.93) mL blood loss, (7.83±1.98) days in the hospital, and (11874±237.83) CNY in costs. The differences between the groups were statistically significant (t=9.674, P<0.05). Postoperative pain scores at various time points were lower in the observation group, and the CVAS scores were higher compared to the control group. The overall satisfaction rates for the observation and control groups were 94% and 54%, respectively, with significant differences between the groups (P<0.05). Conclusion SILC significantly reduced the incidence of postoperative complications and incisional pain, and offers better cosmetic results for surgical scars.

Key words: Benign gallbladder disease, Single-hole laparoscopic cholecystectomy, Routine laparoscopic cholecystectomy

于海洋, 陈志群, 单凯, 魏维, 周巍, 陈树荣. 单孔腹腔镜胆囊切除术治疗良性胆囊疾病的临床疗效研究[J]. 肝脏, 2025, 30(5): 727-730.

YU Hai-yang, CHEN Zhi-qun, SHAN Kai, WEI Wei, ZHOU Wei, CHEN Shu-rong. Clinical efficacy of single hole laparoscopic cholecystectomy for the treatment of gallstones[J]. Chinese Hepatolgy, 2025, 30(5): 727-730.

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