Objective: To explore the application value of a novel separated magnetic-controlled forceps in transumbilical single-incision laparoscopic cholecystectomy (SILC). Methods: This is a prospective case series study. Data from patients who underwent SILC at the Department of General Surgery, the Second Affiliated Hospital of Air Force Medical University from March to August 2023 were prospectively collected, based on inclusion and exclusion criteria. All patients underwent cholecystectomy assisted by a novel separated magnetic-controlled forceps. Surgical time, intraoperative blood loss, the need for additional incisions during surgery, and the length of hospital stay were recorded to assess surgical difficulty and effectiveness. Postoperative pain scores and complications were documented to evaluate the safety of the procedure. The collaboration experience of the surgeon and assistant was evaluated using a 5-point Likert scale to assess the feasibility of this surgical approach. Informed consent was obtained from all patients in accordance with medical ethical regulations. Patients were followed up through outpatient visits or telephone calls, with follow-up at 7 days and 1 month after surgery, and evaluation of incisional scar healing and completion of satisfaction questionnaires. Follow-up was conducted until September 30, 2023. Results: A total of 45 patients were included in the study,including 19 males and 26 females,aged (42.7±21.2)years(range:32 to 61 years). The difficulty of the operation was evaluated as grade 1 or 2 in 38 cases(84.4%) and grade 3 in 7 cases(15.6%). Operation time was (37.3±15.3) minutes(range: 25 to 80 minutes),and intraoperative blood loss(M(IQR)) was 17.8(35.0) ml (range:10 to 60 ml). All surgical procedures proceeded smoothly without intraoperative incidents, and the overall satisfaction of the surgeon and assistants was high. All patients underwent successful day surgery management and were discharged within 48 hours of hospitalization. The postoperative pain scores at 1, 7, and 30 days were 3 (4), 1 (4), and 0, respectively. The follow-up time was 5.0(1.8) weeks (range: 3 to 7 weeks), with no occurrence of grade 3 to 4 adverse reactions, and the patients were satisfied with the cosmetic effect of the umbilical incision. Conclusions: The novel separated magnetic-controlled forceps can be applied in transumbilical SILC. It has the advantages of convenient operation, and patients are satisfied with the surgical results.
目的： 探讨新型分离式磁控钳在经脐单孔腹腔镜胆囊切除术中的应用价值。 方法： 本研究为前瞻性病例系列研究。前瞻性收集2023年3—8月空军军医大学第二附属医院普通外科连续收治的接受单孔腹腔镜胆囊切除术治疗的符合纳入和排除标准的患者资料。所有患者术中接受新型分离式磁控钳辅助经脐腹腔镜胆囊切除。记录手术时间、术中出血量、术中是否需要辅助切口和住院时间等指标。记录患者术后疼痛评分及并发症发生情况等。采用5分李克特量表记录术者及助手的配合体验，评价该术式的可推广度。所有患者均签署知情同意书，符合医学伦理规定。患者出院后通过门诊或电话随访，术后7 d、1个月各随访 1 次，复查切口愈合和瘢痕形成情况并完成满意度调查问卷。随访截至2023年9月30日。 结果： 共有45例患者纳入研究，男性19例，女性26例，年龄（42.7±21.2）岁（范围：32~61岁）。38例（84.4%）的手术难度术中被评估为1级或2级，7例（15.6%）被评估为3级。手术操作时间（37.3±15.3）min（范围：25~80 min），术中出血量［M（IQR）］17.8（35.0）ml（范围：10~60 ml）。所有手术操作过程顺利，无术中意外事件发生，术者及助手总体满意度高。所有患者均完成了日间手术的管理，于住院后48 h内出院。患者术后第1、7、30天疼痛评分分别为3（4）分、1（4）分、0分。随访时间5.0（1.8）周（范围：3~7周），无3~4级不良反应发生，患者对腹壁美容效果满意。 结论： 新型分离式磁控钳可应用于经脐单孔腹腔镜胆囊切除术，具有操作便捷的优点，患者对手术效果满意。.