摘要
目的探讨腹腔镜胆囊大部分切除术在复杂胆囊手术中的效果及安全性。方法回顾性分析我院2006年1月至2012年3月收治的46例行腹腔镜胆囊大部分切除术的复杂胆囊患者的临床资料,并与同期开腹进行胆囊大部分切除术的38例复杂胆囊患者的临床资料进行对比,分析手术效果和并发症发生情况。结果经过腹腔镜胆囊大部分切除术的复杂胆囊手术患者的手术时间、下床活动时间、住院时间及感染的发生率明显少于开腹手术者,两组比较差异有统计学意义(P<0.05);引流管留置时间、胆漏、胆囊积液、肝外胆管损伤的发生率与对照组相比无统计学差异(P>0.05)。结论腹腔镜胆囊大部分切除术可简化传统复杂的手术步骤,手术风险低,对人体损伤小,值得临床推广普及。
Objective To investigate effect and security of laparoscopic partial cholecystectomy on complex gallbladder operation.Methods Retrospective analysis 46 cases have complex gallbladder carried out laparoscopic partial cholecystectomy of our hospital in 2006 January - 2012 March ,and compared with 34 cases have complex gallbladder carried out open operation,analyse the effect of operation and complications.Results The test group of Operation time,the time action get up of bed,in hospital time and the duration of catheter drainage ranged was significantly less than that of the open operation,has statistical significance （P〈0.05）. Drainage tube indwelling time, bile leakage, gallbladder fluid, the incidence of extrahepatic bile duct injury compared with control group no significant difference （P〉0.05）. Conclusion Laparoscopic subtotal cholecystectomy can simplify traditional complex operation steps, reduce operation risk, small damage to human bodies, have the low rate of complications, worthy of clinical popularization.
出处
《中国医药指南》
2012年第20期50-50,52,共2页
Guide of China Medicine
关键词
腹腔镜胆囊大部分切除术
复杂胆囊
手术
Laparoscopic partial cholecystectomy
Complex gallbladder
Operation
