CAJ | 학술논문

目的探讨腹腔镜胆囊切除术中顺行与逆行的选择策略,以降低风险,提高临床疗效.方法对59例腹腔镜胆囊切除术(顺行切除36例,逆行切除23例)对比分析术式选择依据、术中出血量、手术时间、术后并发症、住院时间等.结果平均手术时间:顺行(10.5±5.2)min,逆行(12.2±7.3)min(P<0.01),术中出血量:顺行(11.0±0.7)mL,逆行(17.3±3.2)mL(P<0.01),平均住院时间:顺行(3.0±0.6)d,逆行(3.0±0.9)d(P>0.05).结论胆囊三角解剖结构不清或发生较大变异的病例宜选用逆行切除法,二者的临床疗效相似,但选择合适的方法有助于降低切除难度,减少并发症.
목적탐토복강경담낭절제술중순행여역행적선택책략,이강저풍험,제고림상료효.방법대59례복강경담낭절제술(순행절제36례,역행절제23례)대비분석술식선택의거、술중출혈량、수술시간、술후병발증、주원시간등.결과평균수술시간:순행(10.5±5.2)min,역행(12.2±7.3)min(P<0.01),술중출혈량:순행(11.0±0.7)mL,역행(17.3±3.2)mL(P<0.01),평균주원시간:순행(3.0±0.6)d,역행(3.0±0.9)d(P>0.05).결론담낭삼각해부결구불청혹발생교대변이적병례의선용역행절제법,이자적림상료효상사,단선택합괄적방법유조우강저절제난도,감소병발증.
Objective?To study the laparoscopic cholecystectomy anterograde and retrograde choice strategy, in order to reduce risk and improve the clinical effect. Methods 59 cases of laparoscopic cholecystectomy (anterograde resection (36 cases) and retrograde resection of 23 cases) a comparative analysis of the choice of basis, surgical decompression of the amount of bleeding, operation time, postoperative complications, the length of time and so on. Results The mean operation time:anterograde 10.5±5.2min,retrograde 12.2±7.3min(P<0.01),during the operation, the amount of bleeding:anterograde 11.0±0.7mL, retrograde 17.3+/-3.2mL(P<0.01), the average hospitalization time:anterograde 3.0±0.6days, retrograde 3.0±0.9days (P>0.05). Conclusion The gallbladder triangle anatomical structure is not clear or the occurrence of large variation of cases appropriate chooses retrograde nephrectomy, both the clinical curative effect of the similar, but choose the right method can help to reduce the difficulty of resection, reduce the complications.