腹腔镜胆囊切除术结合加速康复外科的临床应用体会  

The Clinical Experience of Laparoscopic Cholecystectomy Combined with Fast Track Surgery

作　　者：周大胜[1] 戴建青[1] 王国虞[1] 陈建华[1] 祁洁[1] 

机构地区：[1]南京医科大学附属苏州医院普通外科,江苏苏州215001

出　　处：《中国临床医学》2010年第3期348-350,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨腹腔镜胆囊切除术结合加速康复外科的临床应用价值。方法:对66例接受单纯性腹腔镜胆囊切除术的患者,分别采用加速康复外科和传统的围手术期治疗方案,比较两组患者术后肛门排气时间、进食和下床活动时间、住院时间及费用、术后并发症与进食后不适情况。结果:加速康复外科组患者术后肛门排气时间、进食和下床活动时间、住院时间较对照组明显缩短(P<0.05);住院费用也明显减少(P<0.05);且无明显不良反应。结论:腹腔镜胆囊切除术结合加速康复外科后不但安全,而且更加积极有效。Objective：To study the clinical value of laparoscopic cholecystectomy combined with fast track surgery.Methods： Sixty-six cases underwent simple laparoscopic cholecystectomy and accepted the perioperative therapy of fast track surgery（n=33） or conventional surgery（n=33）.After operation,the time of bowel flatus and taking food and movement,hospital stay and cost,complications incidence and comfortless intaking were compared.Results： After operation,the time of bowel flatus and taking food and movement,hospital stay in fast track surgery group were significantly shorter than those in conventional surgery group（P0.05）.Hospital cost was also less（P0.05）.There were no evident complications in both groups.Conclusions： Laparoscopic cholecystectomy combined with fast track surgery is not only safe,but also more active and effective.

关 键 词：腹腔镜 胆囊切除术 加速康复外科 

分 类 号：R657.4[医药卫生—外科学]