CAJ | 학술논문

目的探讨腹腔镜胆总管切开取石的临床效果.方法回顾分析2009年1月至2012年6月本院腹腔镜联合胆道镜胆总管切开取石28例与同期开腹的胆囊切除+胆总管切开取石术39例.两组患者的临床资料进行比较分析.结果结果两组手术患者均治愈出院.在手术时间、术中出血量两组无明显差异(P>0.05).在胃肠道功能恢复时间及住院天数,腹腔镜手术优于开腹手术(P<0.05).结论腹腔镜胆总管切开取石术安全、经济,达到微创的目的.
목적탐토복강경담총관절개취석적림상효과.방법회고분석2009년1월지2012년6월본원복강경연합담도경담총관절개취석28례여동기개복적담낭절제+담총관절개취석술39례.량조환자적림상자료진행비교분석.결과결과량조수술환자균치유출원.재수술시간、술중출혈량량조무명현차이(P>0.05).재위장도공능회복시간급주원천수,복강경수술우우개복수술(P<0.05).결론복강경담총관절개취석술안전、경제,체도미창적목적.
Objective To discuss clinical efficiency of choledocholithotomy by laparoscopic surgery. Methods The clinical data of 28 patients with choledocholithiasis underwent laparoscopic common bile duct exploration combined with choledochoscopy and at the same time, 39 patients received open choledocholithotomy from January 2009 to June 2012 was analyzed retrospectively. The clinical data in the two groups were analyzed comparatively. Results The patients of two groups were cured to discharge from hospital. In the operative time,the volume of intraoperative bleeding, there was no signifcant difference(P>0.05).However, in time of gastrointestinal recovery and hospitalization time, the choledocholithotomy by laparoscopic surgery group was much superior to the group treated by open surgery(P<0.05).Conclusions The laparoscopic common bile duct exploration is safe and economy,attain the goat of minimally invasive .