中国现代医药杂志
中國現代醫藥雜誌
중국현대의약잡지
Modern Medicine Journal of China
2015年
10期
41-44
,共4页
腹腔镜%胆囊管%胆总管探查术
腹腔鏡%膽囊管%膽總管探查術
복강경%담낭관%담총관탐사술
Laparoscopy%Transcystic%Common bile exploration
目的 总结腹腔镜下经胆囊管胆总管探查取石术的临床应用经验. 方法 回顾性分析我科于2010年1月~2014年1月行腹腔镜下经胆囊管胆总管探查取石术的48例患者的临床资料,并与同期完成的30例腹腔镜下胆总管切开探查取石术患者资料进行对比分析. 结果 48例进行腹腔镜下经胆囊管胆总管探查取石术患者的手术时间为 (103.00± 34.54)min,术后住院天数为(6.45±1.67)d,失血量为(29.75±15.93)ml. 30例患者因各种原因术中改行腹腔镜下胆总管切开取石术.所有患者术后均无严重操作相关并发症发生.腹腔镜下胆总管切开取石术手术时间明显长于腹腔镜下经胆囊管胆总管探查取石术,差异具有统计学意义(P=0.016). 结论 腹腔镜下经胆囊管胆总管探查取石术用于治疗胆总管结石是安全有效的,相比腹腔镜下胆总管切开取石术,其手术创伤更小、安全性更高;若能严格把握适应证,综合各种技术,可提高患者手术的成功率.
目的 總結腹腔鏡下經膽囊管膽總管探查取石術的臨床應用經驗. 方法 迴顧性分析我科于2010年1月~2014年1月行腹腔鏡下經膽囊管膽總管探查取石術的48例患者的臨床資料,併與同期完成的30例腹腔鏡下膽總管切開探查取石術患者資料進行對比分析. 結果 48例進行腹腔鏡下經膽囊管膽總管探查取石術患者的手術時間為 (103.00± 34.54)min,術後住院天數為(6.45±1.67)d,失血量為(29.75±15.93)ml. 30例患者因各種原因術中改行腹腔鏡下膽總管切開取石術.所有患者術後均無嚴重操作相關併髮癥髮生.腹腔鏡下膽總管切開取石術手術時間明顯長于腹腔鏡下經膽囊管膽總管探查取石術,差異具有統計學意義(P=0.016). 結論 腹腔鏡下經膽囊管膽總管探查取石術用于治療膽總管結石是安全有效的,相比腹腔鏡下膽總管切開取石術,其手術創傷更小、安全性更高;若能嚴格把握適應證,綜閤各種技術,可提高患者手術的成功率.
목적 총결복강경하경담낭관담총관탐사취석술적림상응용경험. 방법 회고성분석아과우2010년1월~2014년1월행복강경하경담낭관담총관탐사취석술적48례환자적림상자료,병여동기완성적30례복강경하담총관절개탐사취석술환자자료진행대비분석. 결과 48례진행복강경하경담낭관담총관탐사취석술환자적수술시간위 (103.00± 34.54)min,술후주원천수위(6.45±1.67)d,실혈량위(29.75±15.93)ml. 30례환자인각충원인술중개행복강경하담총관절개취석술.소유환자술후균무엄중조작상관병발증발생.복강경하담총관절개취석술수술시간명현장우복강경하경담낭관담총관탐사취석술,차이구유통계학의의(P=0.016). 결론 복강경하경담낭관담총관탐사취석술용우치료담총관결석시안전유효적,상비복강경하담총관절개취석술,기수술창상경소、안전성경고;약능엄격파악괄응증,종합각충기술,가제고환자수술적성공솔.
Objective To summarize the clinical applicative experience of laparoscopic transcystic common bile explo-ration. Methods 48 cases of choledocholithiasis were operated with laparoscopic transcystic common bile exploration, while other 30 cases were operated with laparoscopic common bile exploration, the clinical data of two groups were analyzed retrospec-tively. Results Among 78 cases, 48 cases were operated successfully with laparoscopic transcystic common bile exploration, 30 cases were converted to laparoscopic common bile exploration. None of the cases were found with complications postopera-tively. There was significant difference between two types of operation on operation time (P=0.016). Conclusion Laparoscopic transcystic common bile exploration could be a microtrauma, safe and effective operation.
