| Objective To compare the efficacy of transumbilical single hole laparoscopic cholecystectomy with traditional three-hole laparoscopic cholecystectomy for benign gallbladder diseases, and to explore the value of transumbilical single hole laparoscopic technique for benign gallbladder diseases. Methods A total of 162 patients with benign gallbladder diseases admitted to the Minimally Invasive Surgery Department of the First People's Hospital of Hefei from June 2020 to June 2021 were retrospectively analyzed, and they were divided into the observation group (79 cases) and the control group (83 cases) according to different surgical methods. Intraoperative (time of operation, amount of blood loss), postoperative (catheterization ratio, recovery time of exhaust and feeding, number of times of use of painkillers, incision pain score 6 h、 24 h、 72 h after surgery, incision aesthetic satisfaction, length of stay, hospitalization cost) indexes of the two groups were compared, and pain score was evaluated by visual analog scale (VAS). Incision aesthetic satisfaction was assessed by aesthetic visual Analog Scale (CVAS). Results The operation time and CVAS score of the observation group were higher than those of the control group (P＜0.05). The intraoperative blood loss and postoperative catheterization ratio in the observation group were lower than those in the control group (P=0.001, 0.009). The recovery time of postoperative exhaust and feeding in the observation group was shorter than that in the control group (P＜0.05). The number of postoperative painkillers used in the observation group was less than that in the control group (P=0.003), and the postoperative VAS scores between the two groups were statistically significant, with time and interaction effects (P＜0.05). The length of stay and the cost of stay of the observation group were shorter and less than those in the control group (P＜0.05). Conclusions Compared with three-hole laparoscopic cholecystectomy, transumbilical single-port laparoscopic cholecystectomy can prolong the operation time, but it has the advantages of less intraoperative bleeding, less postoperative pain, faster recovery, shorter hospital stay, lower operation cost, beautiful incision and so on, which has certain value for clinical promotion. |
