摘要
目的:研究腹腔镜胆总管切开取石T管引流术与腹腔镜肝切除术治疗肝胆管结石患者的临床价值及对机体炎症反应、并发症的影响。方法:选择2021年6月~2023年8月本院医治的66例肝胆管结石患者,依据不同手术方法分为肝切除组34例行腹腔镜肝切除术,胆管切开取石组32例行腹腔镜胆总管切开取石T管引流术,比较两组手术效果。结果:两组结石清除率和并发症相比无差异(P>0.05);肝切除组住院、引流及手术时间和术后下床、进食、排气及排便时间均短于胆管切开取石组(P<0.05);肝切除组术后GGT、ALP、ALB指标和血清PA、IL-8、IL-1水平均低于胆管切开取石组(P<0.05)。结论:腹腔镜肝切除术能减轻机体炎症反应,促进肝功能恢复,减少并发症,加快患者康复进程,安全性好。
Objective:To study the clinical value of laparoscopic choledocholithotomy with T-tube drainage and laparoscopic liver resection in the treatment of patients with liver and bile duct stones,as well as their impact on the body’s inflammatory response and complications.Methods:A total of 66 patients with liver and bile duct stones treated in our hospital from June 2021 to August 2023 were divided into two groups based on different surgical methods:a hepatectomy group(34 cases)underwent laparoscopic hepatectomy,and a bile duct stone removal group(32 cases)underwent laparoscopic common bile duct stone removal and T-tube drainage.Compare the surgical outcomes between two groups.Results:There was no difference in stone clearance rate and complications between the two groups(P>0.05);The hospitalization,drainage,and surgical time,as well as postoperative time to get out of bed,eat,exhaust,and defecate in the liver resection group were shorter than those in the bile duct incision and stone removal group(P<0.05);The postoperative GGT,ALP,ALB indicators,and serum levels of PA,IL-8,and IL-1 in the liver resection group were lower than those in the bile duct stone removal group(P<0.05).Conclusion:Laparoscopic liver resection can alleviate the body’s inflammatory response,promote liver function recovery,reduce complications,accelerate the patient’s recovery process,and has good safety.
作者
王博
李敏献
WANG Bo;LI Min-xian(Xiamen Changgeng Hospital,Fujian Xiamen 361000)
出处
《中国医疗器械信息》
2024年第12期41-44,共4页
China Medical Device Information
