CAJ | 학술논문

目的：探讨分析腹腔镜逆行次全胆囊切除术治疗急性结石性胆囊炎的临床效果。方法选取淮南新康医院近年来收治的60例急性结石性胆囊炎患者作为研究对象，按照数字抽签法将其随机均分为研究组与对照组（n=30），研究组患者行腹腔镜逆行次全胆囊切除术，对照组患者行腹腔镜逆行胆囊切除术，比较2组手术治疗效果。结果研究组与对照组均发生1例中转开腹手术，研究组手术时长及术中出血量等指标均优于对照组，组间比较差异有统计学意义（P<0.05）；2组在术后体征变化、并发症发生情况及住院时长等指标方面差异无统计学意义。结论与腹腔镜逆行胆囊切除术相比，对急性结石性胆囊炎患者行腹腔镜逆行次全胆囊切除术能够缩短手术时间，减少术中出血量，微创性更加显著。
목적：탐토분석복강경역행차전담낭절제술치료급성결석성담낭염적림상효과。방법선취회남신강의원근년래수치적60례급성결석성담낭염환자작위연구대상，안조수자추첨법장기수궤균분위연구조여대조조（n=30），연구조환자행복강경역행차전담낭절제술，대조조환자행복강경역행담낭절제술，비교2조수술치료효과。결과연구조여대조조균발생1례중전개복수술，연구조수술시장급술중출혈량등지표균우우대조조，조간비교차이유통계학의의（P<0.05）；2조재술후체정변화、병발증발생정황급주원시장등지표방면차이무통계학의의。결론여복강경역행담낭절제술상비，대급성결석성담낭염환자행복강경역행차전담낭절제술능구축단수술시간，감소술중출혈량，미창성경가현저。
Objective To observe and analyze the clinical effect of laparoscopic retrograde subtotal cholecystectomy treating acute calculous cholecystitis. Methods 60 cases with acute calculous cholecystitis treated in our hospital were selected as the research objects and divided into two groups, the research group and the control group, each group for 30 cases. The research group was treated with laparoscopic retrograde subtotal cholecystectomy, and the control group was treated with laparoscopic retrograde cholecystectomy. The operation effect of two groups was compared. Results There was 1 case receiving conversion to laparotomy in the research group and the control group. The operation time and bleeding amount in operation of the research group were better than that of the control group. There was evident difference between two groups(P<0.05), which had statistical significance. There was no evident difference for systematic sign after operation, complications and length of stay between two groups, which had no statistical significance. Conclusion Compared with laparoscopic retrograde cholecystectomy, laparoscopic retrograde subtotal cholecystectomy treating patients with acute calculous cholecystitis not only can reduce the operation time and bleeding amount in operation, but also is minimally invasive.