关键词: 腹腔镜, 胆囊切除术, 单孔, 经脐入路

Abstract: 【Abstract】〓Objective〓To investigate the advantages and disadvantages of the transumbilical single port laparoscopic cholecystectomy (LC) and conventional LC. Methods〓Eighty patients received transumbilical single port LC (TUSPLC group, n=40) and traditional LC (TLC group, n=40) from June 2010 to June 2013 were included in the study. The clinical data were retrospectively analyzed. The operative time, intraoperative blood loss, postoperative intestinal function recovery time, the cases of postoperative using analgesic postoperative hospital stay and complications were compared between two groups. Results〓All operations in 80 cases were successful. No postoperative complications occurred. Compared with TLC group, the TUSPLC group took longer operative time [(50.3±24.9) min vs. (35.1±17.6) min, P<0.05], but the patients who needed analgesic after operation were less (5% vs. 27.5%, P<0.05), and the postoperative hospital stay was shorter [(3.9±0.7)d vs. (6.2±0.9)d,P<0.05]. For the intraoperative blood loss and postoperative intestinal function recovery time, there were no significant differences between the two groups (P>0.05). Conclusion〓Transumbilical single port LC is a safe, feasible and more minimally invasive surgery as compared with the traditional operation, and it has advantages of less postoperative pain, faster recovery and no obvious abdominal scars.

Key words: Laparoscope, Cholecystectomy, Single port, Transumbilical approach