单切口与多切口机器人胆囊切除术：188例患者的回顾性比较。

IF 1.1 4区医学 Q3 SURGERY

Journal of Minimal Access Surgery Pub Date : 2025-09-18 DOI:10.4103/jmas.jmas_123_25

Moaz Abulfaraj

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引用次数: 0

摘要

与传统腹腔镜相比，机器人辅助胆囊切除术提高了精确度和可视化。本研究比较了单切口机器人胆囊切除术（SIRC）和多切口机器人胆囊切除术（MPRC）的选择性。材料和方法：一项回顾性队列研究分析了2018年至2023年三级中心188例患者（63例SIRC， 125例MPRC）的手术时间、住院时间（LOS）和并发症。结果：SIRC比MPRC的平均手术时间（66比55分钟，P < 0.001）和LOS（1.4比1.2天，P = 0.02）更长，伤口感染（3.2%比0.8%,P = 0.25）和疝气发生率（1.6%比0%，P = 0.33）相当。结论：SIRC是一种安全、美观的替代MPRC的方法，尽管手术时间较长，适合低体重指数患者优先考虑美观。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Single-incision versus multi-port robotic cholecystectomy: A retrospective comparison in 188 patients.

Introduction: Robotic-assisted cholecystectomy enhances precision and visualisation compared to traditional laparoscopy. This study compares single-incision robotic cholecystectomy (SIRC) with multi-port robotic cholecystectomy (MPRC) in elective settings.

Materials and methods: A retrospective cohort study analysed 188 patients (63 SIRC, 125 MPRC) at a tertiary centre from 2018 to 2023, assessing operative time, length of stay (LOS) and complications.

Results: SIRC had longer mean operative time (66 vs. 55 min, P < 0.001) and LOS (1.4 vs. 1.2 days, P = 0.02) than MPRC, with comparable wound infection (3.2% vs. 0.8%, P = 0.25) and hernia rates (1.6% vs. 0%, P = 0.33).

Conclusion: SIRC is a safe, cosmetically appealing alternative to MPRC despite longer operative times, suitable for lower-body mass index patients prioritising aesthetics.

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来源期刊

Journal of Minimal Access Surgery SURGERY-

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.