CLINICAL EFFECT EVALUATION OF SINGLE PORT LAPAROSCOPIC SURGERY IN PATIENTS WITH URINARY DISEASES

Guisong Gao^*, Yuming Zhang, Yantao Zheng, Xinhua Zhuang, Liping Ge

Department of Urology, Zhejiang Jinhua Guangfu Hospital, Jinhua, Zhejiang 321000, China

Introduction: To evaluate the clinical effect of single port laparoscopic surgery in patients with urinary diseases.

Materials and methods: A total of 126 urological patients who underwent laparoscopic surgery in our hospital from September 2019 to September 2020 were selected. Among them, 44 cases underwent radical nephrectomy, 38 cases underwent ureterolithotomy and 44 cases underwent renal cyst removal. The patients were divided into observation group and control group according to laparoscopy, 63 cases in each group. The observation group was treated with single port laparoscopic urology surgery, while the control group was treated with traditional three-port laparoscopic urology surgery.

Results: In the radical nephrectomy group, there were no significant differences in operation time, incision size, intraoperative blood loss, postoperative HB reduction, postoperative hospital stay, visual analogue score and postoperative complication system classification between the two groups (P>0.05). Compared with the traditional laparoscopic control group, the single port laparoscopic observation group had lower mean airway pressure, shorter time to remove the endotracheal tube, and lower incidence of subcutaneous emphysema (P<0.05). In the ureterolithotomy group, there were no significant differences in operation time, intraoperative blood loss, postoperative HB decline, postoperative hospital stay, visual analogue score and postoperative complication system classification between the two groups (P>0.05). In the single port laparoscopic group, the incision was significantly smaller, the mean airway pressure was significantly lower, the time to remove the endotracheal tube was significantly shorter, and the incidence of subcutaneous emphysema was lower (P<0.05). In the renal cyst removal group, there were no significant differences in operation time, intraoperative blood loss, postoperative HB decline, postoperative hospital stay, visual analogue score and postoperative complication system classification between the two groups (P>0.05). Compared with the traditional laparoscopic control group, the incision in the single port laparoscopic observation group was significantly smaller, the mean airway pressure during operation was significantly lower, the time to remove the endotracheal tube after operation was significantly shorter, and the incidence of subcutaneous emphysema was lower (P<0.05). 

Conclusion: The implementation of single port laparoscopic surgery can not only reduce the surgical pain and wound of patients with urological diseases, but also obtain better therapeutic effect.