本文選題：Minilap技術(shù) + 單孔腔鏡技術(shù)　； 參考：《蘭州大學(xué)》2015年碩士論文

【摘要】：目的：對比Minilap腹腔鏡技術(shù)與單孔腹腔鏡膽囊切除技術(shù)的手術(shù)療效及臨床應(yīng)用價值。探討在膽囊切除術(shù)時,應(yīng)用Minilap腹腔鏡技術(shù)的安全性及可行性。方法：2014年1月至2014年12月期間就診于蘭州大學(xué)第二醫(yī)學(xué)院微創(chuàng)外科50例沒有嚴(yán)重膽囊炎癥的膽囊結(jié)石或膽囊息肉患者,共分為2組,行Minilap手術(shù)切除膽囊的患者25例(Minilap組),行單孔腹腔鏡手術(shù)切除膽囊的患者25例(單孔組),對比分析手術(shù)失血量、術(shù)程時間,術(shù)后相關(guān)并發(fā)癥,手術(shù)穿刺孔疼痛程度、腹部外觀滿意程度及術(shù)式難易程度之間的差異。結(jié)果：Minilap組全部順利完成手術(shù),單孔組2例患者術(shù)中因膽囊管、膽囊動脈及膽總管分辨不清,出血明顯而中轉(zhuǎn)接受常規(guī)腔鏡膽囊切除手術(shù)。單孔組手術(shù)時間明顯長于minilap組(P0.01)；手術(shù)失血估量和患者對腹部外觀美容程度,兩組之間差異無統(tǒng)計學(xué)意義(P0.05);但在手術(shù)難易程度及手術(shù)穿刺孔疼痛程度方面,Minilap組優(yōu)于單孔組,差異有統(tǒng)計學(xué)意義(P0.01)。兩組患者均未發(fā)生手術(shù)相關(guān)并發(fā)癥。結(jié)論：兩種手術(shù)方式相比較,Minilap腹腔鏡技術(shù)安全、可行,美容效果良好,且具有手術(shù)時間縮短,手術(shù)難度降低,學(xué)習(xí)曲線短及患者滿意度高等優(yōu)點。隨著科技的進步、器械的改善以及操作技術(shù)的提高,Minilap腹腔鏡技術(shù)為腔鏡手術(shù)的更微化發(fā)展指明了新的思路及方向。
[Abstract]:Objective: to compare the curative effect and clinical value of Minilap laparoscopic cholecystectomy and single-hole laparoscopic cholecystectomy. To explore the safety and feasibility of Minilap laparoscopy in cholecystectomy. Methods: from January 2014 to December 2014, 50 patients with cholecystolithiasis or gallbladder polyps without severe inflammation of gallbladder were divided into two groups, who were admitted to the Department of minimally invasive surgery, second School of Medicine, Lanzhou University. There were 25 cases of cholecystectomy with Minilap operation and 25 cases with single hole laparoscopic cholecystectomy (single hole group). The difference between the degree of abdominal appearance satisfaction and the ease of operation. Results all the patients in the small Minilap group completed the operation successfully. Two patients in the single hole group were transferred to conventional endoscopic cholecystectomy because the cystic duct, the gallbladder artery and the common bile duct could not be distinguished during the operation. The operation time of single hole group was significantly longer than that of minilap group (P 0.01), there was no significant difference between the two groups in the evaluation of blood loss and the degree of abdominal cosmetic, but the difficulty of operation and the pain degree of puncture hole were better in Minilap group than in single hole group. The difference was statistically significant (P 0.01). There were no surgical complications in both groups. Conclusion: compared with Minilap laparoscopy, the two surgical methods are safe, feasible, and have good cosmetic effect, and have the advantages of shortening the operation time, reducing the difficulty of operation, short learning curve and high patient satisfaction. With the development of science and technology, the improvement of instruments and operation techniques, Minilap laparoscopy has pointed out new ideas and directions for the further development of endoscopic surgery.
【學(xué)位授予單位】：蘭州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R657.4

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本文編號：1957515