CAJ | 학술논문

目的：探讨三孔法腹腔镜胆囊切除术(LC)的改良技巧与效果。方法将367例行三孔LC患者随机分两组，改良组185例由后三角入路，对照组182例前三角入路；比较两组手术效果。结果所有患者均痊愈出院，改良组手术与住院时间、术中出血量、中转开腹及术后并发症均少于对照组(P＜0.05)。结论后三角入路三孔法LC安全、有效，更符合微创要求。
목적：탐토삼공법복강경담낭절제술(LC)적개량기교여효과。방법장367례행삼공LC환자수궤분량조，개량조185례유후삼각입로，대조조182례전삼각입로；비교량조수술효과。결과소유환자균전유출원，개량조수술여주원시간、술중출혈량、중전개복급술후병발증균소우대조조(P＜0.05)。결론후삼각입로삼공법LC안전、유효，경부합미창요구。
Objective Inquire into the improvement technique and effect of the three port laparoscopic cholecystectomy(LC). Methods 367 cases with the operation of three port laparoscopic cholecystectomy were randomly divided into two groups. 185 cases in the improved group were treated with operation by posterior triangular approach, while 182 in the control group by anterior triangular approach. The operation effects of the two groups were compared.Will 367 routine three bore the LC sufferer random divide two sets of, the improvement set is 185 from empress triangle go into road, matched control 182 triangle before the example go into road;Compare two sets of surgical operation effect. Results All completely recovered hospital discharge to sufferers, improvement set surgical operation and hospitalization time, bleed quantity in the Shu, medium turn to open after stomach and Shu complications all is less than a matched control.(P﹤0.05).Conclusion It is safety, effective, and in accordance with the requirements of minimally invasive operation for three port laparoscopic cholecystectomy. posteriorEmpress triangle go into road three bore method LC safety, effective, match more tiny create a request.