腹腔镜切除术对早期胆囊癌患者疗效及并发症的影响  

Curative effects and complications of laparoscopic resection in patients with early gallbladder carcinoma

作　　者：汤衍斌[1] 严江[1] 吴宝安[1] 林依克 

机构地区：[1]汕头大学医学院第一附属医院,广东汕头515041

出　　处：《中国校医》2017年第3期212-214,共3页Chinese Journal of School Doctor

摘　　要：目的探讨腹腔镜切除术对早期胆囊癌患者疗效及并发症的影响。方法选取2012年9月至2015年9月期间本院确诊治疗的早期胆囊癌患者100例,依据随机数表法随机分为腹腔镜组和根治组,每组50例,根治组患者给予常规根治性切除术治疗,腹腔镜组患者给予腹腔镜切除术治疗,随访1年,分析所有患者手术、术后排气、胃肠功能恢复时间、术中出血量和并发症及复发情况。结果腹腔镜组患者手术、术后排气、胃肠功能恢复时间、术中出血量明显低于根治组,差异有统计学意义(P<0.05);腹腔镜组患者并发症发生率明显低于根治组,差异有统计学意义(P<0.05),但2组患者1年复发率基本相同,差异无统计学意义(P>0.05)。结论腹腔镜切除术治疗早期胆囊癌的疗效确切,可有效减少术中对患者的创伤,有利于患者术后恢复和减少并发症的发生,且无增加复发的风险,值得临床作进一步推广。Objective To discuss the curative effects and complications of laparoscopic resection in patients with early gallbladder carcinoma. Methods A total of 100 inpatients with early gallbladder carcinoma were selected from September 2012 to September 2015. The patients were randomly divided into a laparoscopic group and radical group with50 cases in each group. The radical group was treated with the conventional radical resection and the laparoscopic group was treated with the laparoscopic resection treatment. The follow-up was 1 year. The operation time, exhaust time, gastrointestinal function recovery time, bleeding amount during the operation, complications, and recurrence of all the patients were observed and the results were analyzed and compared between two groups. Results The operation time, exhaust time,gastrointestinal function recovery time, bleeding amount during the operation of the laparoscopic group were significantly less than those of the radical group（all P〈 0.05）. The incidence of complications of the laparoscopic group was also significantly less than that of radical group（P〈 0.05）, but the 1-year recurrence rate was basically the same in two groups（P〉0.05）. Conclusion The laparoscopic resection has definite curative effect in the treatment of early gallbladder carcinoma. It can effectively reduce the intraoperative trauma, is beneficial to the recovery of the patients, and reduce postoperative complications, and in addition, there is no increased risk of recurrence.

关 键 词：胆囊肿瘤/外科手术 腹腔镜检查/方法 

分 类 号：R657.4[医药卫生—外科学]