Single-incision laparoscopic cholecystectomy without using titanium-clips
10.3760/cma.j.issn.1007-631X.2010.06.011
- VernacularTitle:单切口免钛夹腹腔镜胆囊切除术
- Author:
Hong LI
;
Shize WAN
;
Dansong YU
;
Shuhui LU
;
Haixiang MAO
;
Xinhua ZHOU
;
Wei WANG
;
Gencong LI
- Publication Type:Journal Article
- Keywords:
Cholecystectomy,laparoscopic;
Single-incision;
Titanium clips
- From:
Chinese Journal of General Surgery
2010;25(6):460-462
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and feasibility of single-incision laparoscopic cholecystectomy without using titanium-clips. Methods Data of 1016 patients(group A) undergoing single-incision laparoscopic cholecystectomy without using titanium-clips were compared to that of 874 patients(group B)undergoing two-port laparoscopic cholecystectomy without using titanium-clips by t test and chi square test for operating time,operative hemorrhage,the length of postoperative hospital stay and postoperative pain.Results In group A,1001 cases were successfully operated on with single-incision laparoscopic cholecystectomy,with conversion to classic four-port laparoscopic cholecystectomy in 15 cases,while 874 cases in group B were operated on with two-port laparoscopic cholecystectomy.There were no bile leakage,biliary tract injury or death in both groups.There were no difference in operating time[(34.5 ±5.2) min vs (32.0±7.4)min,t=0.063,P=0.526],the length of postoperative hospital stay[(3.1±0.8)d vs(3.2±0.7)d,t=1.073,P=0.326]and operative hemorrhage[(56.5±17.8)ml vs (55.2±15.9)ml,t=0.812,P=0.425](P>0.05) between the two groups,but the postoperative pain was less severe in Group A than that in group B (P=0.000<0.05). Conclusions The single-incision laparoscopic cholecystectomy is feasible,safe,less traumatic and more cosmetic.
