中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
11期
1901-1902
,共2页
赵铁彦%赵华%樊晨%陈文斌%院存珍
趙鐵彥%趙華%樊晨%陳文斌%院存珍
조철언%조화%번신%진문빈%원존진
腹腔镜%肝切除术%肝胆结石
腹腔鏡%肝切除術%肝膽結石
복강경%간절제술%간담결석
Laparoscopy%Liver Resection%Liver,Gallstones
目的:比较腹腔镜微创与常规肝部分切除术对于治疗肝胆结石的效果差异。方法:肝胆管结石患者共40例,将患者随机分为腹腔镜微创手术组组和常规肝部分切除术治疗组,每组20例患者。比较手术后临床效果,患者术中指标、术后恢复等指标差异。结果:与常规开服部分肝切除术比较,腹腔镜手术时间明显短于开腹手术(P<0.05),出血量低于常规开腹手术(P<0.01),常规组中有4例患者术中需要输血,微创组没有输血病例,患者术后的胃肠蠕动时间,下床活动时间明显低于常规开腹组(P<0.01),术后并发症比较,微创组患者并发症患者明显少于常规组(P<0.01)。结论:腹腔镜微创手术与开腹部分肝切除术均能有效治疗肝胆结石,腹腔镜微创手术创伤更小,恢复快,并发症少。
目的:比較腹腔鏡微創與常規肝部分切除術對于治療肝膽結石的效果差異。方法:肝膽管結石患者共40例,將患者隨機分為腹腔鏡微創手術組組和常規肝部分切除術治療組,每組20例患者。比較手術後臨床效果,患者術中指標、術後恢複等指標差異。結果:與常規開服部分肝切除術比較,腹腔鏡手術時間明顯短于開腹手術(P<0.05),齣血量低于常規開腹手術(P<0.01),常規組中有4例患者術中需要輸血,微創組沒有輸血病例,患者術後的胃腸蠕動時間,下床活動時間明顯低于常規開腹組(P<0.01),術後併髮癥比較,微創組患者併髮癥患者明顯少于常規組(P<0.01)。結論:腹腔鏡微創手術與開腹部分肝切除術均能有效治療肝膽結石,腹腔鏡微創手術創傷更小,恢複快,併髮癥少。
목적:비교복강경미창여상규간부분절제술대우치료간담결석적효과차이。방법:간담관결석환자공40례,장환자수궤분위복강경미창수술조조화상규간부분절제술치료조,매조20례환자。비교수술후림상효과,환자술중지표、술후회복등지표차이。결과:여상규개복부분간절제술비교,복강경수술시간명현단우개복수술(P<0.05),출혈량저우상규개복수술(P<0.01),상규조중유4례환자술중수요수혈,미창조몰유수혈병례,환자술후적위장연동시간,하상활동시간명현저우상규개복조(P<0.01),술후병발증비교,미창조환자병발증환자명현소우상규조(P<0.01)。결론:복강경미창수술여개복부분간절제술균능유효치료간담결석,복강경미창수술창상경소,회복쾌,병발증소。
Objective:To compare the different effects of laparoscopic minimally invasive and conventional partial hepatectomy for the treatment of liver gallstones. Methods:40 cases of Gastroenterology of patients with bile duct stones, the patients were randomly divided into group of minimally invasive laparoscopic surgery group and conventional liver partial resection of the treatment group, each group of 20 patients. Compare clinical effects after surgery, in patients undergoing indicators, postoperative recovery indicators differences. Results:Compared with conventional open service partial liver resection compared with laparoscopic surgery was significantly shorter than open surgery (P<0.05), the amount of bleeding was lower than conventional open surgery (P<0.01), 4 cases of patients in the conventional group need a blood transfusion in the minimally invasive group, no blood transfusion cases, the stomach and intestines of the postoperative time, ambulation time was significantly lower than conventional open surgery group(P<0.01), postoperative complications, minimally invasive group, patients with complications in patients significantly less than the conventional group (P<0.01). Conclusion:Minimally invasive laparoscopic surgery versus open partial hepatectomy can be effective in treating liver gallstones, laparoscopic the smaller in minimally invasive surgery, trauma, quicker recovery, fewer complications.