Tripartite comparison of single-incision and conventionallaparoscopy in cholecystectomy： A multicenter trial

• 作者: Cheng, Yuan Gao, Yi He, Guo-Lin Jian, Zhi-Xiang Jiang, Ze-Sheng Lai, Qing-Bo Liu, Hai-Yan Pan, Ming-Xin Zhou, Chen-Jie
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: CHOLECYSTECTOMY LAPAROSCOPIC SURGERY SINGLE-INCISION LAPAROSCOPIC CHOLECYSTECTOMY
• 年，卷（期）: 2015,（5）
• 页码范围: 540-546
• 页数: 7页
• 分类号: R

摘要

AIM To compare the characteristics of two singleincisionmethods, and conventional laparoscopy incholecystectomy, and demonstrate the safety andfeasibility.METHODS： Three hundred patients with gallstonesor gallbladder polyps were admitted to two clinicalcenters from January 2013 to January 2014 and wererandomized into three groups of 100： single-incisionthree-device group, X-Cone group, and conventionalgroup. The operative time, intraoperative blood loss,complications, postoperative pain, cosmetic score,length of hospitalization, and hospital costs werecompared, with a follow-up duration of 1 mo.RESULTS： A total of 142 males （47%） and 158 females（53%） were enrolled in this study. The populationcharacteristics of these three groups is no significantdifferences exist in terms of age, sex, body massindex and American Society of Anesthesiology （P 〉0.05）. In results, there were no significant differencesin blood loss, length of hospitalization, postoperativecomplications.The operative time in X-Cone groupwas significantly longer than other groups.There weresignificant differences in postoperative pain scores andcosmetic scores at diffent times after surgery （P 〈 0.05）.CONCLUSION： This study shows that this two singleincisionmethods are safe and feasible. Both methodsare superior to the conventional procedure in cosmeticand pain scores.