摘要
目的探讨腹腔镜胆总管探查术的临床应用效果。方法选取120例术前支持诊断为胆总管结石的患者并随机分为两组,60例患者采用腹腔镜下胆总管探查术作为观察组,60例患者采用常规腹腔镜手术作为对照组,观察两组患者手术情况及住院情况。结果观察组患者术后2例(3.33%)发生胆漏,术后行B超检查未发生胆管残余结石,住院时间为(7.5±2.0)d,住院费用为(0.88±0.25)万元,无一例进行二次手术,而对照组患者3例(5.00%)术后发生并发症,术后行B超检查时,发现3例有残余结石,2例胆总管占位性病变,1例十二指肠乳头狭窄,需二次手术,二次手术率为8.33%,住院时间为(10.5±3.1)d,住院费用为(1.12±0.25)万元。观察组住院时间,住院费用及二次手术率均明显低于对照,差异具有统计学意义(P<0.05)。结论腹腔镜胆总管探查术手术微创安全,可有效避免二次手术。
Objective To explore the clinical effect of laparoscopic common bile duct exploration. Methods 120 cases of preopera- tive support the diagnosis of common bile duct stones in patients and randomly divided into two groups, 60 patients with laparo- scopic common bile duct exploration as the observation group, 60 cases were treated with conventional laparoscopic surgery as the control group, observed The two groups of patients with surgery and hospitalization. Results Observation group 2 patients （3.33%） and bile leakage occurs, postoperative ultrasound B did not occur residual bile duct stones, length of stay （7.5±2.0） days, the cost of hospitalization （0.88±0.25） million, no cases of secondary surgery, while the control group patients, 3 cases （5.00%） postopera- tive complications, intraoperative found three cases of residual stones underwent B-ultrasound, 2 cases of bile duct lesions, pa- tients wi^h duodenal stenosis required secondary surgery, second surgery was 8.33%, length of stay （10.5±3. I） days, the cost of hospitalization （1.12±0.25） million. Observation group hospitalization time, cost of hospitalization and the second surgery was signif- icantly lower than the control, a statistically significant difference （P〈O.05）. Conclusion Laparoscopic common bile duct explo- ration surgery minimally invasive security, which can effectively avoid secondary surgery.
出处
《中外医疗》
2012年第18期19-20,共2页
China & Foreign Medical Treatment
关键词
腹腔镜
胆总管探查术
胆囊切除术
Llaparoscopy
Common bile duct exploration
Cholecystectomy
