腹腔镜左肝外叶切除术治疗肝胆管结石的临床效果  

Clinical effect of laparoscopic hepatic left lateral lobectomy in treatment of hepatic bile duct stone

作　　者：曹辉 邓予[2] 罗云藩[2] 钟洪才[2] 

机构地区：[1]广东省惠州市卫生职业技术学院外科教研室,广东惠州516025 [2]广东省惠州市中心人民医院肝胆外科,广东惠州516001

出　　处：《中国当代医药》2015年第6期23-24,共2页China Modern Medicine

基　　金：广东省惠州市科技进步奖(2013-J2-07-R05)

摘　　要：目的探讨腹腔镜左肝外叶切除术治疗肝胆管结石的临床效果。方法选取本院2010年1月~2014年9月收治的38例肝胆管结石患者为研究对象,按不同手术方法分为治疗组和对照组,对照组采用开腹左肝叶切除术,治疗组采用腹腔镜左肝叶切除术,对比两组患者的术中出血量、手术时间、术后住院时间、红细胞输注数量以及并发症发生情况。结果治疗组术中出血量和红细胞输注数量少于对照组,手术时间短于对照组,差异有统计学意义（P〈0.05）。两组患者并发症发生率差异无统计学意义（P〉0.05）。结论应用腹腔镜左肝外叶切除术治疗肝胆管结石具有出血量少、红细胞输注数量少的特点,对患者造成的创伤较小,值得临床推广应用。Objective To evaluate the clinical effect of laparoscopic hepatic left lateral lobectomy in treatment of hepatic bile duct stone. Methods 38 cases of patients with hepatic bile duct stone treated in our hospital from January2010 to September 2014 were chosen as experimental objects,and were divided into control group and experimental group.The control group were treated with left hepatic lobectomy,and the experimental group were treated with laparoscopic hepatic left lateral lobectomy.The bleeding volume, operation time, postoperative hospitalization time, transfusion of red blood cell count and complications between two group was compared. Results The bleeding volume and count of transfusion red blood cell of experimental group was lower than that of control group,the operation time was shorter than that of control group,the difference was significant（P〈0.05）.The complications between the two groups had no significant difference（P〈0.05）. Conclusion Laparoscopic hepatic left lateral lobectomy has the character of lower bleeding volume and transfusion of red blood cell count in hepatic bile duct stone,with less trauma,is worthy of clinical application.

关 键 词：肝胆管结石 腹腔镜 左肝外叶切除术 

分 类 号：R657.3[医药卫生—外科学]