摘要
目的:总结腹腔镜治疗M irizzi综合征的经验。方法:回顾分析2004年6月至2010年8月为45例M irizzi综合征患者行腹腔镜治疗的临床资料,并与同期25例开腹手术进行对比研究。结果:所有手术均获成功,腹腔镜组无一例中转开腹。腹腔镜组与开腹组平均手术时间分别为(79±12)m in与(82±15)m in(t=0.915,P>0.05);术后下床活动时间分别为(14±0.5)h与(24±1.5)h(t=41.003,P<0.05);术后住院时间分别为(4±0.5)d与(7±0.8)d(t=19.317,P<0.05)。70例患者均获电话或门诊随诊,症状均消失,未发现手术相关并发症发生。结论:应用腹腔镜治疗M irizzi综合征在技术上切实可行。但腹腔镜下缝合修复胆管壁缺损较困难,适宜在腹腔镜技术较成熟的单位开展。
Objective：To summarize the experience of laparoscopic treatment of Mirizzi syndrome.Methods：The clinical data of 45 patients with Mirizzi syndrome who underwent laparoscopic treatment from Jun.2004 to Aug.2010 were analyzed retrospectively and compared with the 25 cases of open surgery in the same period.Results：All operations were successful and in the laparoscopic group no patient was converted to open surgery.The laparoscopic group＇s and the open group＇s operating time were（79±12） min and（82±15） min（t=0.915,P0.05）,the postoperative bed-off time were（14±0.5） h and（24±1.5） h（t=41.003,P0.05）,and the postoperative hospital stay were（4±0.5） d and（7±0.8） d（t=19.317,P0.05）.All of the 70 patients were followed up by telephone or out-patient clinic,and there were not clinical symptom or complications in both groups.Conclusions：Laparoscopic treatment of Mirizzi syndrome is technically feasible.However,laparoscopic suture of bile duct defects is a difficult precedure,and appropriate to be carried out in sophisticated unit.
出处
《腹腔镜外科杂志》
2011年第7期488-490,共3页
Journal of Laparoscopic Surgery
