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腹腔镜胆囊次全切术治疗复杂胆囊结石疗效 预览

Treatment of Complicated Gallbladder Stones With Laparoscopic Cholecystectomy
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摘要 目的探讨对复杂胆囊结石患者在腹腔镜辅助下行胆囊次全切除术治疗的临床效果。方法选择我院2017年1月-2018年6月收治复杂胆囊结石患者计110例,随机分为采用腹腔镜下逆行胆囊切除术的对照组(n=55)与采用腹腔镜胆囊次全切除术治疗的试验组(n=55),对比治疗效果。结果试验组手术时间(84.30±16.09)min,短于对照组(114.39±20.10)min,P<0.05;术中出血量(91.65±25.16)mL,小于对照组(112.68±31.38)m L,P<0.05。试验组引流量(111.22±28.28)mL,对照组引流量(106.15±31.44)mL,P>0.05;试验组住院时间(6.18±1.27)d,对照组住院时间(6.62±1.42)d,P>0.05。试验组发生并发症4例,发生率为7.27%(4/55),对照组发生并发症5例,发生率为9.09%(5/55),P>0.05。结论对复杂胆囊结石患者采用腹腔镜辅助下胆囊次全切术治疗效果与逆行胆囊切除术差异不大,但该术式操作时间更短,出血量更少,有利于患者术后恢复。 Objective To investigate the clinical effect of laparoscopicassisted cholecystectomy for complicated gallstones.Methods A total of 110 patients with complex cholecystolithiasis admitted to our hospital from January 2017 to June 2018 were selected and randomly divided into the control group with laparoscopic retrograde cholecystectomy(n=55)and the experimental group with laparoscopic subtotal cholecystectomy(n=55)to compare the treatment effect.Results The operating time of the test group(84.30±16.09)min was shorter than that of the control group(114.39±20.10)min,(P<0.05);The intraoperative bleeding volume(91.65±25.16)mL was smaller than that of the control group(112.68±31.38)mL,(P<0.05).Experimental group drainage(111.22±28.28)mL,control group drainage(106.15±31.44)mL,(P>0.05);Hospital time in the experimental group(6.18±1.27)d,hospital time in the control group(6.62±1.42)d,(P>0.05).There were 4 complications in the test group,the incidence rate was 7.27%(4/55),5 complications occurred in the control group,and the incidence rate was 9.09%(5/55),(P>0.05).Conclusion There is little difference between the therapeutic effect of laparoscopic assisted cholecystectomy and retrograde cholecystectomy in patients with complex cholecystolithiasis,but the operation time is shorter and the amount of blood loss is less,which is beneficial to postoperative recovery of patients.
作者 张春雨 ZHANG Chunyu(Hepatobiliary Surgery,Chifeng City Hospital,Chifeng Inner Mongolia 024000,China)
出处 《中国卫生标准管理》 2019年第16期56-58,共3页 China Health Standard Management
关键词 复杂胆囊结石 腹腔镜 胆囊次全切除术 逆行胆囊切除术 并发症 术后恢复 complex gallstone laparoscope cholecystectomy retrograde cholecystectomy complications post-operative recovery
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  • 1尹耀新,彭毅,熊沛,龙光辉,钟立明,张风涛,周晓初,叶建宇.1600例腹腔镜胆囊切除术无胆管损伤的临床体会[J].中国内镜杂志,2008(6):649-651. 被引量:16
  • 2赖智德,王耀东,何利平,黄东航,陈志江,何协,林震,田毅峰.联合腹腔镜、内镜微创治疗胆囊结石合并胆总管结石[J].临床外科杂志,2005,13(12):758-760. 被引量:13
  • 3De Mestral C,Rotstein OD,Laupacis A,et al.Comparative operative outcomes of early and delayed cholecystectomy for acute cholecystitis:A population-based propensity score analysis[J].Annals of Surgery,2014,259(1):10-15. 被引量:1
  • 4Gutt CN,Encke J,Koninger J,et al.Acute cholecystitis:Early versus delayed cholecystectomy,a multicenter randomized trial(ACDC Study,NCT00447304)[J].Annals of Surgery,2013,258(3):385-391. 被引量:1
  • 5龚明景.腔镜胆囊次全切术治疗急性复杂性胆囊炎临床观察[J].医药前沿,2015,24(17):221-222. 被引量:1
  • 6Yajima H,Kanai H,Son K,et al.Reasons and risk factors for intraoperative conversion from laparoscopic to open cholecystectomy[J].Surgery today,2014,44(1):80-83. 被引量:1
  • 7luhl CE, Everhart JE. Gallstone disease is associated with increased mortality in the United States [J].Gastroenterology, 2011,140(2): 508-516. 被引量:1
  • 8Kwon AH, Inui H. Preoperative diagnosis and efficacy of laparoscopic procedures in the treatment of Mirizzi syndrome[J].J Am Coil Surg, 2007, 204(3): 409-415. 被引量:1
  • 9Tian Y, Wu SD, Su Y, et al. Laparoscopic subtotal cholecystectomy as an ahemative procedure designed to prevent bile duct injury: experience of a hospital in northern China [J].Surg Today, 2009, 39(6): 510-513. 被引量:1
  • 10邹智勇,潘小季.乳头括约肌切开术联合腹腔镜胆囊切除术治疗胆囊并胆管结石的临床观察[J].医学临床研究,2009,26(2):297-299. 被引量:3

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