中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2008年
5期
42-43
,共2页
熊沛%周晓初%殷良春%尹耀新%彭毅%叶建宇%钟立明%张风涛
熊沛%週曉初%慇良春%尹耀新%彭毅%葉建宇%鐘立明%張風濤
웅패%주효초%은량춘%윤요신%팽의%협건우%종립명%장풍도
腹腔镜%胆道再次手术%比较研究
腹腔鏡%膽道再次手術%比較研究
복강경%담도재차수술%비교연구
Laparoscopy%Reoperation on biliary tract%Comparative study
目的 比较腹腔镜胆道再次手术与开腹手术的临床效果.方法 研究32例腹腔镜胆道再次手术和36例开腹胆道再次手术的临床资料,比较两组手术时间、结石清除率、胃肠道恢复时间、输液量、住院时间、住院总费用及术后并发症等.结果 腹腔镜组结石清除率为75.9%,开腹手术组为77.8%(P>0.05);手术时间开腹组为(153.8±28.2)min,腹腔镜组为(189.3±33.4)min(P<0.05);胃肠道恢复时间开腹组为(58.1±6.9)h,腹腔镜组为(25.7±3.9)h(P<0.01);术后住院时间开腹组(16.6±3.9)d,腹腔镜组(6.8±1.8)d(P<0.01);住院总费用开腹组为(8 800±2 700)元,腹腔镜组为(9500±2600)元(P>0.05),术后并发症两组分别为7例,0例.结论 腹腔镜胆道再次手术具有临床实用性,但对手术医师的要求较高.
目的 比較腹腔鏡膽道再次手術與開腹手術的臨床效果.方法 研究32例腹腔鏡膽道再次手術和36例開腹膽道再次手術的臨床資料,比較兩組手術時間、結石清除率、胃腸道恢複時間、輸液量、住院時間、住院總費用及術後併髮癥等.結果 腹腔鏡組結石清除率為75.9%,開腹手術組為77.8%(P>0.05);手術時間開腹組為(153.8±28.2)min,腹腔鏡組為(189.3±33.4)min(P<0.05);胃腸道恢複時間開腹組為(58.1±6.9)h,腹腔鏡組為(25.7±3.9)h(P<0.01);術後住院時間開腹組(16.6±3.9)d,腹腔鏡組(6.8±1.8)d(P<0.01);住院總費用開腹組為(8 800±2 700)元,腹腔鏡組為(9500±2600)元(P>0.05),術後併髮癥兩組分彆為7例,0例.結論 腹腔鏡膽道再次手術具有臨床實用性,但對手術醫師的要求較高.
목적 비교복강경담도재차수술여개복수술적림상효과.방법 연구32례복강경담도재차수술화36례개복담도재차수술적림상자료,비교량조수술시간、결석청제솔、위장도회복시간、수액량、주원시간、주원총비용급술후병발증등.결과 복강경조결석청제솔위75.9%,개복수술조위77.8%(P>0.05);수술시간개복조위(153.8±28.2)min,복강경조위(189.3±33.4)min(P<0.05);위장도회복시간개복조위(58.1±6.9)h,복강경조위(25.7±3.9)h(P<0.01);술후주원시간개복조(16.6±3.9)d,복강경조(6.8±1.8)d(P<0.01);주원총비용개복조위(8 800±2 700)원,복강경조위(9500±2600)원(P>0.05),술후병발증량조분별위7례,0례.결론 복강경담도재차수술구유림상실용성,단대수술의사적요구교고.
Objective To compare the therapeutic results of laparoscopic and open reoperation on biliary tract surgery again. Methods A prospective study was conducted between 32 cases of laparoscopic reoperation on biliary tract surgery again and 36 cases of open reoperation on biliary tract surgery again, stone removal, operating time,hospital stay,cost of hospital and postoperative complications were chosen as items for comparison. Results Stone removal was achieved in 22/32 patients by a laparoscopic approach and in 28/36 patients by a open approach(P>0.05 ) ; average operation time was(189.3±33.4)mins in laparoscopic approach and (153.8±28.2) rains in open approach (P<0.05) ; the patients in laparoscopic procedures flatus in (25.7± 3.9) hours and those in open procedures did in (58.1±6.9) hours (P<0.01); the average hospitalization time after surgery was (6.8±1.8) days and (16.6±3.9) days (P<0.01), respectively; the average operative cost was ( 9 500±2 600 ) in laparoscopic approach and ( 8 800±2 700 ) in open approach (P>0.05) ; no major complication were found in laparoscopie approach. Conclusion Laparoscopic reoperation on the biliary tract can be used safely in clinic, but the operator need more experience on laparosopic and open operation of the biliary tract.
