山东医学高等专科学校学报

目的 探讨日间手术管理模式在经脐单孔腹腔镜卵巢良性肿瘤手术中的可行性及安全性。方法 回顾性收集286例行经脐单孔腹腔镜手术的卵巢良性肿瘤患者的临床资料，根据管理模式的不同将患者分为日间手术组(141例)、多日住院手术组(145例)。分析两组相关围手术期指标及术后随访结果。结果 日间手术组住院总时间、住院总费用及术后4h疼痛评分、术后发热及镇痛泵使用率均低于多日住院手术组(P<0.05)。日间手术组术后下床时间、术后进食时间、术后排气时间均早于多日住院手术组(P<0.05)。结论 采用日间手术管理模式开展经脐单孔腹腔镜卵巢良性肿瘤手术安全可行。

Objective To investigate the feasibility and safety of day surgery management model in transumbilical single-port laparoscopic ovarian surgery for benign tumors.Methods Clinical data of 286 patients with benign ovarian tumors who underwent transumbilical single-port laparoscopic surgery were retrospectively collected. Patients were divided into two groups based on different management models: the day surgery group(141 cases) and the multi-day hospitalization surgery group(145 cases). Relevant perioperative indicators and postoperative follow-up results of the two groups were analyzed.Results The total hospitalization time, total hospitalization cost, 4-hour postoperative pain score, postoperative fever and analgesia pump use rate in the day operation group were lower than those in the multi-day inpatient operation group(P<0.05). Postoperative getting out of bed, postoperative eating time, and postoperative venting time in the day operation group were earlier than those in the multi-day inpatient operation group(P<0.05).Conclusion It is safe and feasible to carry out transumbilical single-port laparoscopic surgery for benign ovarian tumors using day surgery management model.