CAJ | 학술논문

目的：探讨免气腹腹腔镜手术与传统腹腔镜手术治疗胃肠手术患者的优缺点。方法：分析50例行免气腹腹腔镜手术（免气腹组）与55例行气腹腹腔镜手术（气腹组）患者的临床资料，包括术中出血量、手术时间、术后肛门首次排气时间、住院时间及术后并发症。结果：105例患者腹腔镜手术均获成功，无1例中转开腹；免气腹组患者手术时间、术后肛门首次排气时间、住院时间及术后并发症发生率均优于气腹组（ P<0.05）。结论：免气腹腹腔镜用于胃肠手术患者具有安全性好、并发症少及术后康复快的优势，值得推广应用。
목적：탐토면기복복강경수술여전통복강경수술치료위장수술환자적우결점。방법：분석50례행면기복복강경수술（면기복조）여55례행기복복강경수술（기복조）환자적림상자료，포괄술중출혈량、수술시간、술후항문수차배기시간、주원시간급술후병발증。결과：105례환자복강경수술균획성공，무1례중전개복；면기복조환자수술시간、술후항문수차배기시간、주원시간급술후병발증발생솔균우우기복조（ P<0.05）。결론：면기복복강경용우위장수술환자구유안전성호、병발증소급술후강복쾌적우세，치득추엄응용。
Objective To investigate the merits and demerits of gasless laparoscopy and conventional laparoscopy in the treatment of pa-tients with gastrointestinal surgery. Methods Compared the clinical characteristics between 50 patients with gastrointestinal surgery using gas-less laparoscopy( gasless group)and 55 patients using conventional laparoscopy( pneumoperitoneum group),including intraoperative blood loss,duration of operation,time of postoperative flatus,hospital stays and postoperative complication. Results Laparoscopic surgery in the treatment of 105 patients were all successful. In addition,the duration of operation,time of postoperative flatus,hospital stays and postoperative complication in gasless group were better compared to pneumoperitoneum group. Conclusion Owing to good safety,few postoperative compli-cation and fast recovering,gasless laparoscopy in the treatment of patients with gastrointestinal surgery would be worthy of generalization.