CAJ | 학술논문

目的：对比腹腔镜下胆囊十二指肠内瘘修补术与开腹胆囊十二指肠内瘘修补术，探讨腹腔镜下胆囊十二指肠内瘘修补术临床价值。方法：通过本院2008年12月至2014年12月胆囊十二指肠内瘘修补术47例临床资料分析，对比两组修补术疗效，手术时间、术中出血量、肛门排气时间、腹腔引流时间、术后住院时间、恢复正常生活时间等。结果：全部47例手术均成功腹腔镜与开腹手术组，手术时间（86.4±25.3 vs 81.7±26.2）min、术后腹腔引流天数（2.2±0.7 vs 2.5±1.1）d 方面，两组间比较无显著性差异，在术中出血量（75.3±20.4 vs 176.4±72.6）mL、术后肛门排气时间（29.7±6.4 vs 45.3±8.1）h，术后住院天数（5.7±1.4 vs 8.4±1.6）d、恢复正常生活时间（7.7±1.7 vs 14.3±2.1）d 方面，腹腔镜明显优于开腹，组间差异有统计学意义。术后随访8～48个月，无远期并发症。结论：经腹腔镜下行胆囊十二指肠内瘘修补术安全、有效、微创，能达到开腹手术的同样效果，且胃肠道干扰小，功能恢复快，恢复时间短于开腹手术。
목적：대비복강경하담낭십이지장내루수보술여개복담낭십이지장내루수보술，탐토복강경하담낭십이지장내루수보술림상개치。방법：통과본원2008년12월지2014년12월담낭십이지장내루수보술47례림상자료분석，대비량조수보술료효，수술시간、술중출혈량、항문배기시간、복강인류시간、술후주원시간、회복정상생활시간등。결과：전부47례수술균성공복강경여개복수술조，수술시간（86.4±25.3 vs 81.7±26.2）min、술후복강인류천수（2.2±0.7 vs 2.5±1.1）d 방면，량조간비교무현저성차이，재술중출혈량（75.3±20.4 vs 176.4±72.6）mL、술후항문배기시간（29.7±6.4 vs 45.3±8.1）h，술후주원천수（5.7±1.4 vs 8.4±1.6）d、회복정상생활시간（7.7±1.7 vs 14.3±2.1）d 방면，복강경명현우우개복，조간차이유통계학의의。술후수방8～48개월，무원기병발증。결론：경복강경하행담낭십이지장내루수보술안전、유효、미창，능체도개복수술적동양효과，차위장도간우소，공능회복쾌，회복시간단우개복수술。
Objective: To investigate the clinical value of laparoscopic cholecystectomy for gallbladder duodenal fistula. Methods: Between Dec,2008 to Dec,2014, 47 patients with internal cholecystoduodenal fistula were analyzed retrospectively. Results: Statistics shows that on significant difference in operation time (86.4±25.3 min vs 81.7±26.2 min)and post-operational abdominal drainage period (2.2±0.7d vs 2.5±1.1d). Analysis reveals that quantity of bleeding in operation(75.3±20.4 ml vs 176.4±72.6ml),period of exhaust(29.7±6.4h vs 45.3±8.1h),hospitalization time(5.7±1.4d vs 8.4 ± 1.6d), recovery time (7.7±1.7d vs 14.3±2.1d) vary significantly between two groups(P<0.05). Follow-up, lasting 8 to 48 months, there was no complication. Conclusion: Laparoscopic cholecystectomy for internal cholecystoduodenal fistula is safe, effective and recovery time is short.