Abstract：Objective To investigate the feasibility and application prospect of the transumbilical assisted abdominal wall small scar laparoscopic cholecystectomy(LC).Methods Retrospective analysis of clinical data of 321 patients of benign gallbladder diseases in Department of General Surgery, Lu′an Municiple Hospital from September 2010 to July 2012. 236 patients treated by transumbilical assisted abdominal wall small scar LC were classified as group A. The 85 patients underwent transumbilical single port LC classified as group B. The 152 patients of benign gallbladder disease underwent conventional LC from August 2009 to August 2010 were classified as control group (group C). The operation time, amount of bleeding during the operation, ambulation time, eating time, patient satisfaction, beauty of incision complication rate and other indicators were compared in 3 groups.Results In group A, 226 patients were operated successfully, 10 patients were converted to 3 holes, the operation rate of 4.23%(10/236). In group B, 77 patients were operated successfully, 7 patients changed to 2 holes, 1 patient changed to 3 holes, the operation rate of 9.41%(8/85). In group C, 152 patients were operated successfully, without conversions to open surgery. All the patients had no bleeding, bile leakage, bile duct injury and other complications. There were no statistically significant differences in bleeding volume and postoperative after eating time in 3 groups (all P values＞0.05). The early ambulation, less hospitalization time and beauty in group A and B were satisfactory compared with group C, the difference was statistically significant (all P values＜0.01). The operation time in group A was less than that in group B, the difference was statistically significant (P＜0.01).Conclusions The transumbilical assisted abdominal wall small scar laparoscopic cholecystectomy has some advantages such as wide indications, easy and simple operation, high safety, small postoperative abdominal wall scar small, high patient satisfaction and worthy of clinical application.
高飞,李荣,李建军,刘涛,吴厚平. 经脐辅助腹壁微小瘢痕的腹腔镜胆囊切除术的临床研究[J]. 中华解剖与临床杂志, 2015, 20(3): 249-253.
Gao Fei*, Li Rong, Li Jianjun, Liu Tao, Wu Houping. The clinical research of transumbilical assisted abdominal wall small scar of laparoscopic cholecystectomy. Chinese Journal of Anatomy and Clinics, 2015, 20(3): 249-253.
2015, Vol. 20 
