CAJ | 학술논문

目的：探讨腹腔镜胆囊切除术在胆囊结石中的治疗作用。方法将70例胆囊结石患者随机分为腹腔镜组和传统组，每组各35例。传统组患者采用传统开腹胆囊切除术，腹腔镜组采用腹腔镜胆囊切除术，并比较两组患者的手术效果和术后并发症的发生情况。结果腹腔镜组患者在手术时间、术中出血量、肛门排气时间、住院时间及并发症发生率等指标上均比传统组患者的低（P＜0．05），有效率则明显比传统组患者的高（ P＜0．05）。结论腹腔镜胆囊切除术与传统外科手术相比，疗效好，并发症少。
목적：탐토복강경담낭절제술재담낭결석중적치료작용。방법장70례담낭결석환자수궤분위복강경조화전통조，매조각35례。전통조환자채용전통개복담낭절제술，복강경조채용복강경담낭절제술，병비교량조환자적수술효과화술후병발증적발생정황。결과복강경조환자재수술시간、술중출혈량、항문배기시간、주원시간급병발증발생솔등지표상균비전통조환자적저（P＜0．05），유효솔칙명현비전통조환자적고（ P＜0．05）。결론복강경담낭절제술여전통외과수술상비，료효호，병발증소。
Objective To study the function of peritoneoscope gallbladder excision for gallstone . Methods 70 cases of gallstone patients were randomly divided into laparoscopic and traditional group ( 35 cases each).The laparoscopic group were treated with peritoneoscope gallbladder excision and open cholecystectomy for the traditional group , and the operation effect and postoperative complications were compared between the two groups.Results The operation time, intraoperative blood loss, anal exsufflation time, hospitalization time and complication rate were all lower in the case of laparoscopic group than in the traditional group (P<0.05), but the effective rate higher than the traditional ones (P<0.05).Conclusions It could get better effective therapy and more lower complications with peritoneoscope gallbladder excision for gallstone than open cholecystectomy .