关键词: 经脐手术；单孔；胆囊切除术；腹腔镜

Abstract:

Objective   To explore the feasibity of transumbilical single-port laparoscopic cholecystectomy. Methods   During the period of February 2009 to January 2011 48 patients with gallbladder diseases received transumbilical single-port laparoscopic cholecystectomy(TSPALC), and 36 patients were treated with the conventional laparoscopic cholecystectomy(LC). Clinical effects were analyzed for the two groups. Results   All the operations were successfully performed, without postoperative bleeding or biliary leakage. For the TSPALC group, the mean time of operation was (49±12)min, as compared to the (40±10) min for the LC group(P>0.05). For the TSPALC group, postoperative intestinal function recovery time was (18±10)h, the hospitalization time was (2.0±0.4 )d, compared to the (30±11)h and (5.0±0.6 )d, respectively, for the LC group (P<0.05). The VAS score for the TSPALC group was significantly lower than that for the LC group (P<0.05). Conclusions   TSPALC is a safe and feasibleprocedure, with a significant benefit of no visible scar on the abdominal wall,  in addition to less severe post-operative pain and quicker recovery than with LC.

Key words: Transumbilical; Single-port; Cholecystectomy; Laparoscopy