Analysis of the clinical advantages of an modified trocar approach for laparoscopic cholecystectomy
10.3760/cma.j.cn113884-20240118-00020
- VernacularTitle:一种改良Trocar入路腹腔镜胆囊切除术的临床优势分析
- Author:
Chonglin TAO
1
;
Jie ZHANG
;
Qigang XU
;
Xiaming HUANG
;
Qiyu ZHANG
Author Information
1. 温州医科大学附属第一医院肝胆胰外科，温州 325000
- Keywords:
Cholecystectomy;
Laparoscopy;
Modification;
Comparative effectiveness study
- From:
Chinese Journal of Hepatobiliary Surgery
2024;30(6):435-438
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical advantages of the modified Trocar approach in laparoscopic cholecystectomy (LC) compared to the conventional three-hole approach.Methods:Clinical data of 202 patients undergoing the modified Trocar approach LC (the modified group) at the First Affiliated Hospital of Wenzhou Medical University from January 2015 to September 2023 were retrospectively analyzed, including 84 males and 118 females patients, aged (49.58±13.03) years old. The conventional group enrolled 606 patients, including 245 males and 361 females, aged (50.99±12.55) years old. The operative time, conversion to four-hole approach, postoperative complications, hospital stay, pain score, and satisfaction score were compared between the groups.Results:No severe complications occurred in either group. In modified group, three cases (1.5%, 3/202) required conversion to four-hole approach, while in conventional group, seven (1.2%, 7/606) required conversion, with one case conversed to open surgery ( P>0.05). The operative time in modified and conventional groups were (40.28±13.51) min and (40.38±18.75) min, respectively ( P>0.05). The postoperative pain scores were 2.49±1.23 and 3.02±1.48, respectively ( t=5.05, P<0.001). The average postoperative hospital stays were (2.87±0.93) d and (3.80±1.31) d, respectively ( t=11.05, P<0.001). The postoperative Kiyak satisfaction scores were 4.31±0.66 and 4.15±0.63, respectively ( t=2.93, P=0.004). Conclusion:The safety of modified Trocar approach is comparable to that of conventional three-hole approach. The modified approach showed a shorter postoperative hospital stay, less pain, better scars, and higher patient satisfaction.
