摘要
目的探讨老年肝外胆管结石患者应用腹腔镜联合胆道镜的临床疗效。方法回顾性分析近5年我院收治的96例老年肝外胆管结石患者,分为对照组(42例)和观察组(54)例。对照组应用开腹手术治疗,观察组应用腹腔镜联合胆道镜手术治疗,比较两组疗效和安全性。结果与对照组比较,观察组患者出血量明显减少,手术时间、肠鸣音恢复时间、住院时间明显缩短,且切口感染率、结石残留率也显著减少(P<0.05),但两组胆道的感染、出血和胆漏无显著性差异。结论腹腔镜联合胆道镜在临床上治疗老年肝外胆管结石疗效确切,并发症少,可逐渐取代传统开放手术。
Objective To explore the clinical efficacy of laparoscopy combined with cholangioscope in elderly patients with extrahepatic bile duct stones. Methods Retrospective analysis of 96 cases of extrahepatic bile duct stones in our hospital in the past 5 years, which were divided into control group （42 cases） and observation group （54）. The control group was treated with open abdomi- nal surgery, and the observation group was treated with laparoscopic combined choledochoscopie surgery, and to compare the efficacy and safety of the two groups. Results Compared with the control group, blood loss significantly reduced, operation time, bowel sound recovery time, hospitalization time in patients of the observation group significantly shortened, and incision infection rate, calculi residual rate also significantly reduced （P 〈 0. 05 ）, but there were no significant difference in biliary infection, bleeding and bile leakage. Conclusion Laparoscopy combined with choledochoscope is effective in the treatment of elderly patients with extrahepatic bile duct stones, with few complications, and can replace the traditional open surgery gradually.
作者
郭德胜
GUO De-sheng(Department of General surgery, the Second People＇s Hospital in Hefei City, Hefei 230011, China)
出处
《肝胆外科杂志》
2018年第3期216-218,共3页
Journal of Hepatobiliary Surgery
关键词
老年肝外胆管结石
胆道镜
腹腔镜
手术
elderly patients with extrahepatic bile duct stones
choledochoscope
laparoscope
surgery
