腹腔镜胆囊切除辅助小切口胆总管探查治疗胆囊结石合并胆总管结石的临床研究  

Clinical study on laparoscopic cholecystectomy and common bile duct exploration combined with small incision for cholecystolithiasis and choledocholithiasis

作　　者：李进军[1] 伍冀湘[1] 梁杰雄[1] 

机构地区：[1]首都医科大学附属北京安贞医院普外科,北京100029

出　　处：《临床外科杂志》2012年第8期551-553,共3页Journal of Clinical Surgery

摘　　要：目的探讨腹腔镜胆囊切除辅助小切口胆总管探查治疗胆囊结石合并胆总管结石的诊治经验及应用价值。方法回顾性分析142例患者的临床资料，142例分为腹腔镜胆囊切除＋小切口辅助胆总管探查术组（A组）、腹腔镜胆囊切除＋胆总管探查术组（B组）和开腹手术组（C组），比较三组患者的手术时间、术中出血量、术后肠功能恢复时间、腹腔引流量、住院时间及并发症发生率。结果A组患者手术时间与B组比较差异有统计学意义（P〈0．05），肠功能恢复时间、住院时问与C组比较差异有统计学意义（P〈0．05）。结论小切口辅助腹腔镜胆囊切除合并胆总管结石的治疗安全可行，但应根据情况采用个体化的治疗方法。Objective To discuss the application value of Laparoscopic cholecystectomy（LC） and common bile duct exploration combined with small incision and the experience of diagnosis and treatment. Methods The clinical data of 142 patients with cholecystolithiasis and choledocbolithiasis were retrospec- tively analyzed. These patients were divided into the three groups, group A：laparoscopic cholecystectomy （ LC ） and common bile duct exploration combined with small incision, group B ： Laparoscopic cholecystecto- my and common bile duct exploration, group C：open cholecystectomy and common bile duct exploration. The duration of surgery, bleeding, postoperative recovery, quantity of flowing liquid from abdominal cavity after operation, time of stay and postoperative complications among 3 groups were compared. Results There was a significant difference on duration of surgery between group A and B（ P 〈 0.05 ）. There was a significant difference on postoperative recovery and time of stay between group A and C （ P 〈 0.05 ）. Conclusion Laparoscopic cholecystectomy（LC） and common bile duct exploration combined with small inci- sion is safe and feasible,but the treatment method of choice must be individualized.

关 键 词：腹腔镜 胆囊结石 胆总管结石 胆囊切除术 胆总管探查术 

分 类 号：R608[医药卫生—外科学]