摘要
目的 探讨 L C、MC、CC对机体的创伤反应程度。方法 对择期胆囊切除的 15 9例良性胆囊疾病者随机分组 ,L C5 3例、MC5 3例、CC5 3例 ,全麻下手术 ,术前、术毕、术后第 1日至 3日每晨作白细胞计数、血糖、体温监测 ,记录切口长度、术中失血量、手术时间、术后腹腔引流液量、肛门排气时间、术后住院时间。结果 按分组完成手术 15 8例 ,1例 L C中转 CC,中转率 1.9% ,全部治愈。手术时间、失血量、切口长度、术毕血糖升高 L C组小于 MC组 (P<0 .0 1)、MC组小于 CC组 (P<0 .0 1) ,白细胞增加从术毕至术后 3日 L C组小于 MC(P<0 .0 5 ) ,MC组小于 CC组 (P<0 .0 1) ,术后体温升高也与此相同 ;肛门排气时间、住院时间 L C组少于MC组 (P<0 .0 1) ,MC组少于 CC组 (P<0 .0 5 ) ,腹腔引流液 L C组少于 CC组 (P<0 .0 5 )。结论 创伤反应程度及持续时间 ,L C组小于 MC组 ,MC组小于 CC组 ;L C为良性胆囊疾病的首选术式。
Objective To analyse the traumatic reaction of laparoscopic cholecystectomy(LC)、minicholecystectomy (MC) and conventional cholecystectomy (CC).Methods 159 cases with benign cholecystic diseases were devised randomly into three groups with 53 cases in each group.The patients were operated under general anaesthesia.WBC count,blood glucose and temperature were recorded in preoperative period,operation end and the morning of the first to third days after operation.The incision length,blood loss,operation time,drainage,venting time and postoperative days of stay in hospital were also recorded.Results 158 operations were performed,1 LC operation convert to CC,conversion rate 1.9%.All patients were cured.LC group was less than MC group(P<0.01)and MC group was less than CC group(P<0.01) in operation time,blood loss,incision length and blood glucose elevation at operation end.LC group less than MC group(P<0.05) and MC group less than CC group(P<0.01)in WBC elevation from operation end to postoperative three days and temperature elevation from the first day to the third day.LC group less than MC group(P<0.01)and MC group less than CC group(P<0.05) in venting time and postoperative hospitalization days.LC group less than CC group (P<0.05) in drainage amount.Conclusions Traumatic reaction is lower in LC group than that in MC and CC group. LC is the first choice for benign cholecystic diseases.
出处
《肝胆外科杂志》
2000年第1期43-45,共3页
Journal of Hepatobiliary Surgery
关键词
胆囊切除术
小切口
电视腹腔镜
创伤反应
Conventional cholecystectomy minicholecystectomy laparoscopic cholecystectomy traumatic reaction
