摘要
目的:探讨逆行或次全切除胆囊对于复杂胆囊腹腔镜切除的临床价值。方法:选择35例复杂胆囊患者使用腹腔镜下逆行和(或)次全切除胆囊,并与35例中转开腹的患者比较手术时间、术中出血和术后肛门排气时间,并统计两组发生的并发症情况。结果:观察组手术时间显著少于对照组,且术中出血少于对照组,同时术后肛门排气时间亦显著快于对照组(P<0.05),两组发生结石移位和大出血的比率差异无统计学意义(P>0.05)。结论:逆行切除或部分切除胆囊能有效避免复杂胆囊切除术中转开腹,具有较好的临床疗效。
Objective： To investigate the clinical value of retrograde or partial excision on complicated gallbladder laparoscopic cholecystectomy. Method： 35 cases with complicated gallbladder were selected and taken retrograde or partial excision with laparoscopic cholecystectomy, and contrasted with 35 cases with transition open operations, operations time, hemorrhage and time of anus evacuating were contrasted and complication were observation between observation group and control group. Result： Operation time was short, hemorrhage was less and time of anus evacuating was short in observation group than in control group （ P〈0.05 ）, and incidence rate of hemorrhoea and stone shift was identical in observation group than in control group （P〉0.05 ）. Conclusion： Retrograde or partial excision can avoid transition open operation complicated gallbladder laparoscopic cholecystectomy and have good clinical curative effect.
出处
《中国医学创新》
CAS
2013年第15期67-68,共2页
Medical Innovation of China
关键词
腹腔镜
逆行切除
次全切除
胆囊切除术
Laparoscopic
Retrograde excision
Partial excision
Cholecystectomy
