胆囊结石手术方法的对比  

Contradistinction of cholecystolithiasis in surgery methods.

作　　者：陈羽[1] 

机构地区：[1]重庆市第七人民医院,400054

出　　处：《中国医学创新》2008年第36期20-21,共2页Medical Innovation of China

摘　　要：目的评估胆囊结石、腹腔镜胆囊切除和小切口胆囊切除三种手术方法的价值。方法回顾性分析205例胆囊结石患者的临床资料。结果剖腹胆囊切除术手术时间平均71min,术后住院平均14d,切口长10～14cm。术后胆瘘、感染、出血、残石等并发症7例,死亡1例。腹腔镜胆囊切除术和小切口胆囊切除术上述数据明显低于剖腹胆囊切除术。结论提示三种方法均是目前治疗胆囊结石的有效方法;微创手术是今后外科发展的方向,但任何术式不能替代剖腹胆囊切除术的地位。Objective To evaluate the value of three surgery methods, belly open cholecystectomy, laparoscopic cholecystectomy and small incisal cholecystectomy. Methods 205 cholecystolithiasis patients clinical data were retrospective analyzed. Results The operative time of belly open cholecystectomy was average 71 minutes, the average days in hospital was 14d, incision length was 10 - 14cm. Patients who had postoperative complication were 7, such as biliary fistula, infection, bleeding and so on. One patient was dead. The above data of laparoscopic cholecystectomy and small incisal cholecystectomy were obviously lower than belly open cholecystectomy. Conclusion To show the three surgery methods are effective to cure cholecystolithiasis in recently, minimally invasive surgery is the develop trend of surgery from now on, but any surgery methods cant substitute the belly open cholecystectomy.

关 键 词：胆石 外科学 胆囊切除术 方法 对比分析 

分 类 号：R657.4[医药卫生—外科学]