单孔附加一孔与多孔腹腔镜胆囊切除术治疗急性胆囊炎的效果

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Effect of Single-incision plus One-port and Multi-port Laparoscopic Cholecystectomy in the Treatment of Acute Cholecystitis/LIU Ailian，LIU Yuwen，PAN Ziyang.//Medical Innovationof China， 2025，22（25）： 117-121

[Abstract]Objective： To compare the difference in the treatment eficacy of single-incision laparoscopic cholecystectomy plus one port （SILC +1 ） and multi-portlaparoscopic cholecystectomy（MPLC） in patientswith acute cholecystitis.Method：Atotalof8Opatients withacute cholecystitis treated inthe Central HospitalofShangraofrom April 2023 to April 2O25 were included.They were randomly divided into SILC+1 group （4Ocases）and MPLC group （40 cases）.The corresponding surgical methods were implemented respectively，and the surgery-related indicators （including operation duration，intraoperative blood los，the situation of conversion to opensurgery），postoperative recovery indicators （hospital stay，first ambulation time，bowel function recovery time anddietrecoverytime）and the degree of pain at 24 h after surgery were compared and analyzed.Aone-month follow-up was performed after the operation.The Vancouver scar scale （VSS） was used to evaluate the healing of the surgical incision，and the incidence of postoperative complications was counted.Result：The SILC+1 group was significantly beter than the MPLC group in terms of operation duration，intraoperative blood loss，hospital stay time，postoperative pain score， diet recovery time and VSS score， etc （ P <0.05）.There was no significant difference in the incidence of complications between the two groups （P>0.O5）. Conclusion： Compared with traditional MPLC，SILC+1 has the advantages of less trauma，faster recovery process and less postoperative pain in the surgical treatment ofacute cholecystitis.There is no significant difference between the two in surgical safety.

急性胆囊炎作为临床常见的急腹症，其外科治疗以腹腔镜胆囊切除手术（laparoscopiccholecystectomy，LC）作为首选治疗方案[1]。（剩余6013字）