Clinical Study on Transumbilical Single Port Laparoscopic Cholecystectomy Comparing with Conventional Laparoscopic Cholecystectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Guangwei ¹ ,  GU Yuanlong ² , WU Xinggui ¹ , ZHAI Niankuan ² , LIU Minfeng. ²

1.The First Department of General Surgery, The 152nd Hospital of PLA, Pingdingshan 467000, Henan Province, China;;
2.Department of Hepatobiliary and Pancreatic Surgery, The Third Affiliated Hospital, Nantong University, Wuxi 214041, Jiangsu Province, China;

Corresponding author：

GU Yuanlong, Email: jsntdxwx@163.com

Keywords：

Transumbilical; Single port; Laparoscopic cholecystectomy

Video：

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ObjectiveTo compare the advantages and disadvantages of transumbilical single port (TUSP) and conventional laparoscopic cholecystectomy (LC). MethodsThe clinical data of 45 patients underwent elective LC were analyzed, 20 patients with TUSP LC (TUSP-LC group), 25 patients with conventional LC (conventional LC group). The operation time, Child-Pugh score and painkiller application frequency within three days after operation, the first time of out of bed and hospital stay after operation, intraoperative blood loss, chronic pain within one month after surgery were compared between two groups. ResultsAll cases were operated successfully except one patient in the conventional LC group. The frequency of painkiller application within three days after operation and postoperative hospital stay in the TUSP-LC group were better than those in the conventional LC group (P lt;0.05). There were no significant differences on postoperative chronic pain of surgical area within 1 month and Child-Pugh score between two groups (P gt;0.05). The operation time and intraoperative blood loss in the conventional LC group were less than those in the TUSP-LC group (P lt;0.05, P lt;0.01). ConclusionTUSP LC has the advantages of small wound, slight pain, and fast recovery.

Citation： WANG Guangwei,GU Yuanlong,WU Xinggui,ZHAI Niankuan,LIU Minfeng.. Clinical Study on Transumbilical Single Port Laparoscopic Cholecystectomy Comparing with Conventional Laparoscopic Cholecystectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(12): 1305-1308. doi: Copy

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22.	顾万清. 《第七届全国肝胆胰脾外科新进展、新技术学术年会》学术纪要 [J]. 中华肝胆外科杂志, 2004， 10(1): 45.

1. Kalloo AN, Singh VK, Jagannath SB, et al. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity [J]. Gastrointest Endosc, 2004, 60(1): 114117.
2. Flora ED, Wilson TG, Martin IJ, et al. A review of natural orifice translumenal endoscopic surgery (NOTES) for intraabdominal surgery: experimental models, techniques, and applicability to the clinical setting [J]. Ann Surg, 2008, 247(4): 583602.
3. Marescaux J, Dallemagne B, Perretta S, et al. Surgery without scars: report of transluminal cholecystectomy in a human being [J]. Arch Surg, 2007, 142(9): 823826.
4. Cuesta MA, Berends F, Veenhof AA. The “invisible cholecystectomy”: A transumbilical laparoscopic operation without a scar [J]. Surg Endosc, 2008, 22(5): 12111213.
5. Palanivelu C, Rajan PS, Rangarajan M, et al. Transumbilical flexible endoscopic cholecystectomy in humans: first feasibility study using a hybrid technique [J]. Endoscopy, 2008, 40(5): 428431.
6. Kosumi T, Kubota A, Usui N, et al. Laparoscopic ovarian cystectomy using a single umbilical puncture method [J]. Surg Laparosc Endosc Percutan Tech, 2001, 11(1): 6365.
7. Ghezzi F, Cromi A, Fasola M, et al. Onetrocar salpingectomy for the treatment of tubal pregnancy: a ‘marionettelike’ technique [J]. BJOG, 2005, 112(10): 14171419.
8. D’Alessio A, Piro E, Tadini B, et al. Onetrocar transumbilical laparoscopicassisted appendectomy in children: our experience [J]. Eur J Pediatr Surg, 2002, 12(1): 2427.
9. Raman JD, Bensalah K, Bagrodia A, et al. Laboratory and clinical development of single keyhole umbilical nephrectomy [J]. Urology, 2007, 70(6): 10391042.
10. Cobellis G, Cruccetti A, Mastroianni L, et al. Onetrocar transumbilical laparoscopicassisted management of Meckel’s diverticulum in children [J]. J Laparoendosc Adv Surg Tech A, 2007, 17(2): 238241.
11. Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy [J]. Int J Colorectal Dis, 2008, 23(10): 10131016.
12. 王宏光, 陈训如, 罗丁, 等. 腹腔镜胆囊切除术13 000例的并发症分析 [J]. 中华普通外科杂志, 2006, 21(3): 167168.
13. 徐大华. 单孔腹腔镜手术的技术瓶颈分析 [J]. 中国微创外科杂志, 2010, 10(1): 2122, 32.
14. Moran EA, Gostout CJ. Surgeons without scalpels. A review of natural orifice translumenal endoscopic surgery [J]. Minn Med, 2008, 91(6): 3437.
15. 张忠涛, 郭伟. 经脐单孔腹腔镜胆囊切除术 [J]. 腹腔镜外科杂志, 2009, 14(1): 1011.
16. 韩威, 张忠涛, 李建设, 等. 经脐单孔腹腔镜胆囊切除术(附12例报告及文献复习) [J]. 中国实用外科杂志, 2008, 28(11): 967969.
17. 朱家万, 宝宏革, 刘浩. 经脐单孔腹腔镜胆囊切除术: 附52例报告 [J]. 中国普通外科杂志, 2009, 18(8): 804806.
18. 刘自明, 贾乾斌, 程南生. 经脐入路腹腔镜胆囊切除术(附18例报道) [J]. 中国普外基础与临床杂志, 2010, 17(3): 270271.
19. 张光全, 廖忠, 吴先麟, 等. 经脐单孔腹腔镜胆囊切除术的临床应用 [J]. 中国普外基础与临床杂志, 2011, 18(1): 8384.
20. 曹强, 季福, 李可为. 经脐单孔腹腔镜胆囊切除术 [J]. 中国现代普通外科进展, 2009, 12(8): 713714, 722.
21. 周晓娜, 张忠涛. 经脐单孔腹腔镜外科技术应用现状和展望 [J]. 中国实用外科杂志, 2009, 29(1): 4243.
22. 顾万清. 《第七届全国肝胆胰脾外科新进展、新技术学术年会》学术纪要 [J]. 中华肝胆外科杂志, 2004， 10(1): 45.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Study on Transumbilical Single Port Laparoscopic Cholecystectomy Comparing with Conventional Laparoscopic Cholecystectomy

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