门诊腹腔镜胆囊切除术与传统的针式腹腔镜检查多端口门诊腹腔镜胆囊切除术。前瞻性随机试验

门诊腹腔镜胆囊切除术与传统的针式腹腔镜检查多端口门诊腹腔镜胆囊切除术。前瞻性随机试验
Colecistectomía laparoscópica ambulatoria por minilaparoscopia versus colecistectomía laparoscópica ambulatoria multipuerto tradicional. Estudio prospectivo aleatorizado

Ambulatory laparoscopic cholecystectomy by minilaparoscopy versus traditional multiport ambulatory laparoscopic cholecystectomy. Prospective randomized trial

                               
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Abstract
摘要
Objective
目的
Difference analysis of ambulatorization rate, pain, analgesic requirements and daily activities recovery in patients undergoing laparoscopic cholecystectomy with standard multiport access (CLMP) versus a minilaparoscopic, 3 mm size, technique.
门诊率、疼痛、镇痛药的需求与标准的多通道腹腔镜胆囊切除术患者恢复日常活动（CLMP）与针式腹腔镜、3毫米大小、技术差异分析。

Methods
方法
Prospective randomized trial of 40 consecutive patients undergoing laparoscopic cholecystectomy. Comparison criteria included predictive ultrasound factors of difficult cholecystectomy, previous history of complicated biliary disease and demographics. Results are analyzed in terms of ambulatorization rate, pain, analgesic requirements, postoperative recovery, technical difficulty, hemorrhage intensity, overnight stay, readmission rate and total or partial conversion.
40例腹腔镜胆囊切除术的前瞻性随机对照试验。比较标准包括困难的胆囊切除术的预测超声因素，复杂的胆道疾病的历史和人口统计。结果在门诊率、疼痛、镇痛药的需求，术后恢复情况、技术难度、出血强度、住宿条件分析、再住院率和全部或部分转换。

Results
结果
Both procedures were similar in surgery time, technical score and hemorrhage score. MLC was associated with similar ambulatorization rate, 85%, and over-night stay 15%, with only 15% partial conversion rate. MLC showed less postoperative pain (P=.026), less analgesic consumption (P=.006) and similar DAR (P=.879).
这两个程序在手术时间、技术评分和出血评分方面都是相似的。MLC类似的门诊率85%相关联，并且过夜停留15％，而只有15%的部分转化率。MLC明显减少术后疼痛（P=026），减少镇痛药的消耗量（P = 006）和类似的DAR（P = 879）。

Conclusions
结论
MLC is similar to CLMP in terms of ambulatorization with less postoperative pain and analgesic requirements without differences in postoperative recovery.
MLC类似于CLMP门诊而言术后恢复无明显差异，术后疼痛和镇痛需求无明显差异。

Keywords
关键词
Ambulatory minilaparoscopic cholecystectomy versus traditional; Ambulatory multiport laparoscopic cholecystectomy; Pain and analgesic requirements in minilaparoscopic cholecystectomy
针式腹腔镜胆囊切除术与传统动态，动态端口腹腔镜胆囊切除术，疼痛和针式腹腔镜胆囊切除术镇痛的要求

原文：
Colecistectomía laparoscópica ambulatoria por minilaparoscopia versus colecist.pdf (576.15 KB, 下载次数: 0, 售价: 99 香叶)

2016-8-27 08:13 上传

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门诊腹腔镜胆囊切除术与传统的针式腹腔镜检查多端口门诊腹腔镜胆囊切除术。前瞻性随机试验