【摘要】 目的 探讨磁牵引技术辅助经脐单孔腹腔镜胆囊切除的安全性及其相较于传统三孔腹腔镜胆囊切除的优势。方法 回顾性分析本院2020年1月—2021年12月由同一主刀医师及固定助手行磁牵引经脐单孔腹腔镜胆囊切除21例患者及同期完成的传统三孔腹腔镜胆囊切除67例患者的临床资料。比较两组患者的客观指标(血液学指标变化、手术时间、术中出血量、手术费用及住院时间等)和主观指标(患者疼痛等级、满意度和腹部外观等)。结果 两组患者的术中出血量、手术费用及住院时间相比无统计学差异(P>0.05);磁牵引经脐单孔腹腔镜胆囊切除术组的手术时长比传统腹腔镜胆囊切除术组稍长(U=299.5,P<0.001);磁牵引辅助下经脐单孔腹腔镜胆囊切除术组的术后疼痛程度明显低于传统腹腔镜胆囊切除术组(U=157.5,P<0.001);同时，术后腹壁美观程度以及患者满意度也明显高于传统腹腔镜胆囊切除术组(U=147.0,P<0.001)。结论 磁牵引技术辅助经脐单孔腹腔镜胆囊切除安全可行，具有临床推广价值。更多还原

【Abstract】 Objective To investigate the safety of magnetic traction assisted transumbilical single-port laparoscopic cholecystectomy and its advantages compared with conventional three-hole laparoscopic cholecystectomy. Methods A retrospective analysis of 21 patients who underwent magnetic traction assisted transumbilical single-port laparoscopic cholecystectomy and 67 cases of traditional three-port laparoscopic cholecystectomy completed in the same period by the same surgeon and fixation assistant in the First Affiliated Hospital of Xi’an Jiaotong University from January 2020 to December 2021. The objective(hematology index changes, operation time, intraoperative blood loss, operation cost and hospital stay) and subjective(patient pain rating, satisfaction and abdominal appearance) indicators of the two groups of patients were compared. Results There was no statistical difference in intraoperative bleeding, operative cost and hospital stay between the two groups(P>0.05). The operative time was slightly longer with the magnetic traction-assisted single-port laparoscopic cholecystectomy than with the conventional laparoscopic cholecystectomy(U=299.5,P< 0.001). The postoperative pain was significantly lower in patients undergoing magnetic traction-assisted single-port laparoscopic cholecystectomy than in those undergoing conventional three-port laparoscopic cholecystectomy(U=157.5,P<0.001). In addition, postoperative abdominal wall aesthetics and patient satisfaction were significantly higher than those of conventional laparoscopic cholecystectomy(U=147.0,P<0.001). Conclusion Magnetic traction technology-assisted transumbilical single-port laparoscopic cholecystectomy is safe and feasible, and has clinical promotion value.更多还原