CAJ | 학술논문

目的探讨腹腔镜联合胆道镜行保胆取石术治疗胆囊结石的临床效果.方法 76例胆囊结石患者作为研究对象,随机分为观察组和对照组,对照组采用传统开腹手术,观察组采用腹腔镜联合胆道镜微创手术.结果两组均顺利手术,术后无严重并发症.观察组手术时间[(123.7±12.8) min]略长于对照组[(118.9±10.3) min],并发症率(7.7％)略高于对照组(5.3％),但均差异无统计学意义(均P＞0.05).观察组手术出血量[(74.3±9.2)ml]、肛门排气时间[(23.7±6.4)h]和住院时间[(8.1±1.3)d]均显著少于对照组[(138.8±17.6)ml、(37.6±9.1)h、(13.4±2.6)d],均P＜0.01.结论腹腔镜联合胆道镜手术创伤小,安全性高,术后康复快,胆囊功能良好.结石类型相对简单、直径相对较小的患者,可在严格选择病例的基础上考虑此术式.
목적 탐토복강경연합담도경행보담취석술치료담낭결석적림상효과.방법 76례담낭결석환자작위연구대상,수궤분위관찰조화대조조,대조조채용전통개복수술,관찰조채용복강경연합담도경미창수술.결과 량조균순리수술,술후무엄중병발증.관찰조수술시간[(123.7±12.8) min]략장우대조조[(118.9±10.3) min],병발증솔(7.7％)략고우대조조(5.3％),단균차이무통계학의의(균P＞0.05).관찰조수술출혈량[(74.3±9.2)ml]、항문배기시간[(23.7±6.4)h]화주원시간[(8.1±1.3)d]균현저소우대조조[(138.8±17.6)ml、(37.6±9.1)h、(13.4±2.6)d],균P＜0.01.결론 복강경연합담도경수술창상소,안전성고,술후강복쾌,담낭공능량호.결석류형상대간단、직경상대교소적환자,가재엄격선택병례적기출상고필차술식.
Objective To explore the clinical efficacy of laparoscopic combined with choledochoscopic gallbladder-preserving cholelithotomy for cholecystolithiasis.Methods 76 patients with gallstone were randomly divided into a study group and a control group.The control group underwent traditional open surgery,while the study group received minimally invasive laparoscopic combined with choledochoscopic surgery.Results The procedures were successfully performed on both groups.No severe postoperative complications occurred.The surgical duration was slightly longer and the rate of complications was mildly higher in the study than in the control group,with no significant differences (P＜0.05).The intraoperative bleeding volume was smaller and exhaust time and length of hospital stay were significantly shorter in the study group than in the control group (P＜0.01).Conclusions Laparoscopic combined with choledochoscopic surgery is less invasive and has higher safety and faster postoperative recovery.This procedure should be considered in patients with better gallbladder function and a relatively simple type of stone with a relatively shorter diameter on the basis of strict selection of patients.