摘要
目的 观察腹腔镜联合纤维胆道镜手术治疗肝胆管结石临床效果。方法 纳入2018年1月-2022年2月在本院行手术治疗的肝胆管结石患者100例,采用随机数字法将纳入研究者分为微创组和开腹组,各50例。微创组采用腹腔镜联合纤维胆道镜手术治疗,开腹组采用传统开腹手术治疗。观察评价两组治疗有效情况、手术相关指标及手术并发症发生情况。结果:微创组和开腹组治疗有效率分别为96.0%和92.0%,两组接近(P>0.05);微创组手术时长与开腹组接近(P>0.05);微创组住院时长、肛门排气时间均短于开腹组(P<0.05);微创组术中出血量少于开腹组(P<0.05)。微创组胆瘘、肠梗阻/粘连等手术相关并发症总发生率低于开腹组(P<0.05)。结论 腹腔镜联合纤维胆道镜手术治疗肝胆管结石的临床效果和手术时长与开腹手术接近,且能减少术中出血量、缩短术后肛门排气时间、住院时长以及手术相关并发症的发生。
Objective To observe the clinical effect of laparoscopic combined choledochoscopy in the treatment of hepatolithiasis.Methods A total of 100 patients with hepatolithiasis who underwent surgical treatment in our hospital from January 2018 to February 2022 were included.The included researchers were randomly divided into minimally invasive group and laparotomy group,with 50 cases in each group.The minimally invasive group was treated with laparoscopy combined with choledochoscopy,and the laparotomy group was treated with traditional laparotomy.Observation and evaluation of the two groups of effective treatment,surgery related indicators and the incidence of surgical complications.Results The effective rates in minimally invasive group and open group were 96.0%and 92.0%,respectively(P>0.05).The operation durationof minimally invasive group was close to that of laparotomy group(P>0.05).The length of hospital stay and anal exhaust time in minimally invasive groupwere shorter than those in laparotomy group(P<0.05).The amount of bloodloss in minimally invasive group was less than that in laparotomy group(P<0.05).The total incidence of operation-related complications such as biliary fistula,intestinal obstruction/adhesion was 4.0%in the minimally invasive group,which was lower than 24.0%in the laparotomy group(P<0.05).Conclusion Theclinical effect and operation duration of laparoscopy combined with fibercholedochoscopy in the treatment of hepatolithiasis are close to that of open surgery,and can reduce intraoperative blood loss,postoperative anal exhaust time,length of hospital stay and the occurrence of operation-related complications.
作者
朱坚刚
ZHU Jiangang(Department of Hepatobiliary Surgery,The Second People's Hospital of Changzhou,Nanjing Medical University,Changzhou,Jiangsu 213003)
出处
《智慧健康》
2023年第15期149-152,共4页
Smart Healthcare
关键词
腹腔镜
纤维胆道镜
肝胆管结石
并发症
Laparoscopy
Fibrocholedochoscope
Hepatobiliary calculus
complication
