CAJ | 학술논문

目的：探析腹腔镜次全胆囊切除术治疗复杂性胆囊结石可行性。方法整群选择该院2012年1月-2015年5月收治97例复杂性胆囊结石患者作为研究对象,随机分为两组。对照组行腹腔镜逆行胆囊切除术,观察组行腹腔镜次全胆囊切除术,比较两组手术相关指标、术后恢复情况、并发症发生率。结果观察组各项手术指标均小于对照组,比较差异有统计学意义(P<0.05)。两组腹腔引流量、肠胃功能恢复时间的比较差异无统计学意义(P>0.05)；观察组住院时间为(5.8±1.0) d,短于对照组(6.2±0.8) d,比较差异有统计学意义(P<0.05)。观察组并发症发生率的比较差异无统计学意义(P>0.05)。结论次全胆囊腹腔镜切除术治疗复杂性胆囊结石具有手术时间短、术中出血量少与补液量少等优点,住院时间更短,有较大可行性与推广价值。
목적：탐석복강경차전담낭절제술치료복잡성담낭결석가행성。방법정군선택해원2012년1월-2015년5월수치97례복잡성담낭결석환자작위연구대상,수궤분위량조。대조조행복강경역행담낭절제술,관찰조행복강경차전담낭절제술,비교량조수술상관지표、술후회복정황、병발증발생솔。결과관찰조각항수술지표균소우대조조,비교차이유통계학의의(P<0.05)。량조복강인류량、장위공능회복시간적비교차이무통계학의의(P>0.05)；관찰조주원시간위(5.8±1.0) d,단우대조조(6.2±0.8) d,비교차이유통계학의의(P<0.05)。관찰조병발증발생솔적비교차이무통계학의의(P>0.05)。결론차전담낭복강경절제술치료복잡성담낭결석구유수술시간단、술중출혈량소여보액량소등우점,주원시간경단,유교대가행성여추엄개치。
Objective Analysis of laparoscopic subtotal cholecystectomy in the treatment of complicated gallstone feasibility. Methods In our hospital from January 2012 to May 2015 in our hospital 97 cases of complicated gallstone patients as the research object, randomly divided into two groups. The control group underwent laparoscopic retrograde cholecystectomy, the observation group underwent laparoscopic subtotal cholecystectomy, compared two groups of operation related indicators, postoperative recov-ery, complication rate. Results In the observation group, the operation indexes were smaller than the control group, the difference was statistically significant (P<0.05). The two group of abdominal drainage recovery time of gastrointestinal function flow, compared the difference was not statistically significant (P>0.05); the observation group hospitalization time was (5.8±1) d, shorter than the control group (6.2±0.8) d, the difference was statistically significant (P<0.05). To observe and compare the difference of incidence rate of complications was not statistically significant (P>0.05). Conclusion Subtotal laparoscopic gallbladder surgery in treatment of complicated gallbladder stone with shorter operation time, intraoperative bleeding, less and less the amount of fluid advantages, shorter hospital stay, has feasibility and promotion value.