三孔法腹腔镜联合胆道镜保胆取石术的临床价值  

The clinical application of three hole laparoscopic combined with choledochoscopy in gallbladder preserving lithotomy

作　　者：王斌[1] 袁志林 陈广瑜[1] 詹建兴 申海军[1] 付振刚[1] WANG Bin;YUAN Zhilin;CHEN Guangyu;ZHAN Jianxing;SHEN Haijun;FU Zhengang(Hepatobiliary Surgery Department,Xian Aerospace General Hospital,Xian 710100,China)

机构地区：[1]西安航天总医院肝胆外科,陕西西安710100

出　　处：《临床医学研究与实践》2017年第36期92-93,共2页Clinical Research and Practice

摘　　要：目的观察三孔法腹腔镜联合胆道镜微创保胆取石术的临床应用效果。方法选择2014年1月至2016年3月本院收治的78例胆囊结石患者,随机分为对照组和观察组,各39例。观察组行三孔法腹腔镜联合胆道镜保胆取石术,对照组常规行腹腔镜下胆囊切除术,观察两组术中、术后相关指标,并监测两组术后并发症发生情况。结果观察组术中出血量、术后排气时间、术后下床时间和住院时间显著优于对照组,手术时间长于对照组(P<0.05)。观察组术后并发症总发生率(7.69%)显著低于对照组(25.64%)(P<0.05)。结论三孔法腹腔镜联合胆道镜保胆取石术临床疗效较好,可明显促进术后患者康复,且并发症风险较低,有助于改善患者预后。Objective To observe the clinical effect of three hole laparoscopic combined with choledochoscopy in minimally invasive gallbladder preserving lithotomy.Methods Seventy-eight cases of patients with cholecystolithiasis in our hospital from January 2014 to March 2016 were selected,and randomly divided into control group and observation group,with 39 cases in each group.The observation group was treated with gallbladder preserving lithotomy by three hole laparoscopic combined with choledochoscopy,while the control group was given conventional laparoscopic cholecystectomy.The intraoperative and postoperative related indexes of the two groups were observed,and the postoperative complications of the two groups were monitored.Results The amount of blood loss,postoperative exhaust time,postoperative ambulation time and hospitalization time in the observation group were significantly better than those in the control group(P约0.05),the operation time in the observation group was significantly longer than that in the control group(P<0.05).The total incidence of postoperative complications in the observation group(7.69%)was significantly lower than that in the control group(25.64%)(P<0.05).Conclusion The clinical effect of three hole laparoscopic combined with choledochoscopy in gallbladder preservation is significant,it can significantly promote the recovery of patients after surgery,and the risk of complications is low.

关 键 词：胆囊结石 腹腔镜 保胆取石术 胆道镜 

分 类 号：R657.4[医药卫生—外科学]