腹腔镜治疗胆囊结石合并胆总管结石的临床研究  

Laparoscopic for Gallstone combined with Common Bile Duct Stones

作　　者：陈栋[1] 李立新[1] 符国宏[1] 符潘杰[1] 梁昌芬[1] 

机构地区：[1]海南省农垦三亚医院普外科,海南三亚572000

出　　处：《现代生物医学进展》2010年第18期3494-3496,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨腹腔镜手术治疗胆囊及胆总管结石的应用价值。方法:90例胆囊结石合并胆管结石患者按手术方式随机分为腹腔镜胆道探查术组(简称:腹腔镜组)和常规开腹胆道探查T管引流术组(简称:常规开腹组)。观察两组手术切口大小、并发症、胃肠道功能恢复时间和平均住院时间等指标。结果:腹腔镜组术后并发症发生率为2.2%,显著低于常规开腹组(15.9%)(P<0.05);腹腔镜组手术切口显著小于常规开腹组(P<0.05);腹腔镜组术后胃肠道功能恢复时间和平均住院时间与对照组比较显著缩短,相比较有显著性差异(P<0.05)。结论:应用腹腔镜治疗胆囊结石合并胆总管结石是一种安全、有效、可行的微创手术方式。Objective：To investigate the value of laparoscopic surgery for patients with gallbladder and common duct stones.Methods：90 cases of patients with gallbladder and common duct stones were randomly divided into laparoscope group and conventional laparotomy group.The laparoscope group＇ patients were treated using LC＋LCBDE,the conventional laparotomy group＇ patients were treated using OC＋OCHTD.After treatment the two groups＇ surgical incision,complications,recovery time of gastrointestinal function and hospital stay were observed.Results：The incidence rate of complications of the laparoscope group was 2.2%,it was lower than the conventional laparotomy group（15.9%）,the difference between two groups was significant（P0.05）;the surgical incision of laparoscope group was significantly less than the conventional laparotomy group（P0.05）;the recovery time of gastrointestinal function and hospital stay of treatment group were shorter than the control group,the difference between two groups was significant（P0.05）.Conclusion：The laparoscopic surgery for treating gallbladder and common duct stones is a safe,effective and feasible minimally invasive surgery.

关 键 词：胆囊结石 胆总管结石 腹腔镜 微创治疗 

分 类 号：R657.42[医药卫生—外科学]