评估双孔腹腔镜胆囊切除术的可行性:一种微创方法。

IF 1.1 4区 医学 Q3 SURGERY
Xiufeng Chu, Fengfeng Chen, Yichen Yu, Guoping Ding, Liping Cao
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引用次数: 0

摘要

目的:建立一种双孔微创腹腔镜胆囊切除术(LC)技术,以最大限度地减少手术疤痕和减轻术后疼痛。方法:采用队列研究,纳入符合入选标准的患者行双孔微创LC。将结果与其他医疗团队进行常规LC的患者进行比较。收集临床及病理资料。术后第1天和第15天采用视觉模拟评分法评估切口疼痛。对两组疼痛评分进行统计学分析比较。结果:在2020年11月至2021年6月期间,56名符合筛查标准的患者被纳入研究组。其中42例成功行双孔LC, 14例转为常规三孔LC。术后无出血、胆漏等并发症发生,均顺利出院。术后第1天,双孔LC组平均切口疼痛评分为1.4±0.95分,显著低于常规LC组1.8±1.32分(P = 0.02)。术后15天,双孔LC组有13例(23.2%)患者报告剑突下切口疼痛,而常规LC组有63例(41.4%)患者报告。结论:对于符合常规LC指征的患者,早期实施双孔微创LC的成功率为75%。与传统LC相比,该技术没有显著缩短手术时间或减少并发症发生率。然而,它将切口数量减少到2个,疤痕大小从10毫米减少到3毫米,并显着减轻了术后疼痛。值得临床推广应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating the feasibility of two-port laparoscopic cholecystectomy: A minimally invasive approach.

Objective: To establish a two-port minimally invasive laparoscopic cholecystectomy (LC) technique that minimises surgical scarring and alleviates post-operative pain.

Methods: A cohort study was conducted, enrolling patients meeting the inclusion criteria to undergo two-port minimally invasive LC. The outcomes were compared with those of patients who underwent conventional LC performed by other medical teams. The clinical and pathological data were collected. Visual Analogue Scale scores were used to assess incision pain on post-operative days 1 and 15. Statistical analyses were performed to compare pain scores between the groups.

Results: Between November 2020 and June 2021, 56 patients met the screening criteria and were enrolled in the study group. Of these, 42 patients successfully underwent two-port LC, while 14 cases were converted to conventional three-port LC. No post-operative complications, such as bleeding or bile leakage, occurred, and all patients were discharged without incident. On day 1 post-surgery, the average incision pain score in the two-port LC group was 1.4 ± 0.95, significantly lower than 1.8 ± 1.32 in the conventional LC group (P = 0.02). On day 15 post-surgery, 13 patients (23.2%) in the two-port LC group reported subxiphoid incision pain, compared to 63 patients (41.4%) in the conventional LC group.

Conclusion: For patients meeting indications for conventional LC, early implementation of two-port minimally invasive LC achieved a success rate of 75%. Compared to conventional LC, this technique did not significantly shorten operative time or reduce the complication rates. However, it decreased the number of incisions to two, reduced scar size from 10 mm to 3 mm and significantly alleviated post-operative pain. It is worthy of clinical application and promotion.

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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
151
审稿时长
36 weeks
期刊介绍: Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.
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