摘要
目的：探讨腹腔镜联合胆道镜腹腔外微创保胆取石术的临床应用价值。方法：将我院2004年1月～2006年12月符合保胆取石条件的110例胆结石分为3组，行腹腔镜下腹腔外胆道镜保胆取石术40例（A组）、腹腔镜下腹腔内胆道镜取石术30例（B组）和传统胆道镜取石术40例（C组），比较3组手术时间、术后至出院时间及术后并发症发生情况。结果：A组手术时间、并发症与B组比较差异具有显著性意义（P〈0.05），A组出院时间与C组比较差异具有显著性意义（P〈0．05）。结论：腹腔镜下腹腔外胆道镜保胆取石术具有手术时间短、术后并发症少、恢复快等优点，具有临床推广价值。
Objective：To discuss the effectiveness of treating cholelithiasis in a mini-invasive operation out of peritoneal cavity by laparoscopy combined with choledochoscope for preservation of cholecyst and removal of calculus, Methods：110 patients were divid- ed into three groups that adapted to the indicaton in our hospital during Jan. 2004-Dec. 2006. The first group（40 cases） underwent operations out of the peritoneal cavity by laparoscopy combined with choledochoscope. The second group（ 30 cases） underwent opera- tions in the peritoneal cavity by laparoscopy combined with choledochoscope. The third group（40 cases） underwent operations with choledochoscope only. The time of operation,the time of staying in hospital after operation and complications of these three groups were compared. Results：The time of operation and the complications of the first group was less than that of the second group（P 〈 0.05 ） ,the time of staying in hospital after operation of the first group was less than that of the third group （ P 〈 0.05 ） ,which was statistically significant. Conclusion ： The first method is better than the other methods with a shorter time of operation, a shorter hospital stay after operation,less complications and quicker recovery. It is of great value to be recommended in clinical practice.
出处
《临床误诊误治》
2008年第2期41-43,共3页
Clinical Misdiagnosis & Mistherapy
关键词
胆结石
外科学
腹腔镜
胆道镜
Gallstone
Surgery
Ventroseope
C holedoehoseope
