摘要
目的:评价手助腹腔镜肝切除术治疗肝内胆管结石的可行性和微创性。方法:2004年7月至2008年12月天津微创外科中心共收治符合研究条件的患者68例,随机分为手助腹腔镜肝切除组(hand-assisted laparoscopic hepatectomy,HALH)和开腹肝切除组(open hepatectomy,OH),对比分析两组的手术时间、术中出血量、术后肠道功能恢复时间、止痛剂应用例次、术后住院时间及围手术期C反应蛋白的变化。结果:HALH组与OH组的手术时间、术中出血量差异无统计学意义(P>0.05),但HALH组术后肠道功能恢复较OH组快,且住院时间短,止痛剂应用次数少,术后C反应蛋白上升幅度小、下降快,差异有统计学意义(P<0.05)。结论:HALH治疗肝胆管结石比开腹手术患者创伤小,康复快。
Objective：To evaluate the feasibility and minimal invasion of hand-assisted laparoseopie hepatectomy（HALH） in the treatmenl of calculus of intrahepatic duct,compared with open hepatectomy（OH）. Methods：Sixty-eight patients were randomly divided into HALH group or OH group in our center from Jul. 2004 to Dec. 2008. Data of patients in two groups were compared to each other. The index included operation time,intraoperative blood loss,time of gastrointestinal function recovered, dosage of painkiller,postoperative hospital stay and C-reactive protein（CRP）. Results：There were no significant differences on average operation time and intraoperatixe blood Loss, between two groups （P 〉 0.05 ）. With respect to time of gastrointestinal function recovered, dosage of painkiller, postoperative hospital stay, it was significantly less of HALH group than that of OH group （ P 〈 0.05 ）. CRP in HALH group was lower and decreased more quickly than OH group after operation （P 〈 0.05 ）. Conclusions：Compared with OH, HALH is safe for calculus of intrahepatie duet, with advabtages of little trauma and quick recovery. It is recommended as a feasible surgical procedure for the management of calculus of intrahepatic duct.
出处
《腹腔镜外科杂志》
2009年第9期676-679,共4页
Journal of Laparoscopic Surgery
关键词
手助腹腔镜术
肝切除术
肝内胆管结石
ltand-assisted laparoscopy
Hepatectomy
Calculus of intrahepatic duct
