Analysis of 46 cases of combined operation of gynecological and surgical diseases with single-hole laparoscopy of instruments

doi:10.3877/cma.j.issn.1674-6899.2018.03.014

Abstract

Abstract:

Objective

To explore the application value of the combined operation of gynecological and surgical diseases with single - hole laparoscope of conventional instruments.

Methods

A retrospective analysis from Jan. 2014 to Nov. 2017, 46 cases(observation group) of combined operation of gynecological and surgical diseases with single-hole laparoscope of conventional instruments, and make a comparative analysis of 46 cases(control group)of gynecological operation with single- hole laparoscopy in the same period(combined operation of 32 cases of single-hole laparoscopic cholecystectomy and ovarian cyst, 6 cases of combined gallbladder and uterus resectionsection, 3 cases of combined operation of gallbladder and fallopian tube, 4 cases of joint operation of appendix and ovarian cyst, the appendix joint surgery and chronic tubal pregnancy in 1 case) .

Results

Observation group: The operation time was 50- 240 min, with an average of (119.03 ± 41.17)min. The intraoperative blood loss was 10l - 450 ml, with an average of (46.33 ± 17.28)ml, and the length of hospital stay was 3- 7 days, with an average of (3.98 ± 0.75)days. Control group: The operation time was 50 - 210 min, with an average of (106.39 ± 32.32)min. The intraoperative blood loss was 20- 300 ml, with an average of (45.65 ± 16.20)ml, and the length of hospital stay was 3- 5 days, with an average of (3.80 ± 0.02)days. There was no statisticall significant difference between the groups in the operation time, blood loss and the length of hospital stay(P> 0.05).

Conclusions

The combined operation of multiple diseases of gynecology and surgery under single-hole laparoscopy can reduce health care costs. At the same time, patients with small abdominal incision have a strong aesthetic effect.

Key words: Single hole, Laparoscopic gynecological surgery, Surgery

Yun Feng, Xuelan Yan, Wei Dong, Hongxia Xu, Fen Zhang, Caifen Zhu, Han Zhao, Jing Liu, Huijuan Huang. Analysis of 46 cases of combined operation of gynecological and surgical diseases with single-hole laparoscopy of instruments[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2018, 11(03): 162-165.

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组别	例数	年龄(岁)	手术时间(min)	术中出血量(ml)	术后胃肠恢复时间(h)	术后住院时间(d)
观察组	46	37.87±12.05	119.03±41.17	46.33±17.28	8.01±0.43	3.98±0.75
对照组	46	36.96±13.02	106.39±32.32	45.65±16.20	7.91±0.36	3.80±0.02
t值	?	0.49	1.63	0.19	1.21	1.63
P值	?	> 0.05	> 0.05	> 0.05	> 0.05	> 0.05

组别	例数	年龄(岁)	手术时间(min)	术中出血量(ml)	术后胃肠恢复时间(h)	术后住院时间(d)
观察组	46	37.87±12.05	119.03±41.17	46.33±17.28	8.01±0.43	3.98±0.75
对照组	46	36.96±13.02	106.39±32.32	45.65±16.20	7.91±0.36	3.80±0.02
t值	?	0.49	1.63	0.19	1.21	1.63
P值	?	> 0.05	> 0.05	> 0.05	> 0.05	> 0.05

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