困难性胆囊切除中腹腔镜胆囊次全切除术的疗效分析  

Efficacy Analysis of Subtotal Laparoscopic Cholecystectomy in Difficult Cholecystectomy

作　　者：张春秋[1] ZHANG Chunqiu(Department of General Surgery,Daqing Oilfield General Hospital of Heilongjiang Province,Daqing Heilongjiang 163001,China)

机构地区：[1]黑龙江省大庆油田总医院普外科,黑龙江大庆163001

出　　处：《中国卫生标准管理》2018年第8期33-34,共2页China Health Standard Management

摘　　要：目的分析腹腔镜胆囊次全切除术在困难性胆囊切除术中进行应用的价值。方法选取2016年1—12月期间在我院实施困难性胆囊切除术患者68例,将其进行随机分组,分为观察组与对照组各34例,对照组患者接受医院的常规腹腔镜胆囊切除术,观察组患者实施腹腔镜胆囊次全切除术,通过两组患者住院时间、放置引流管时间、术中出血量、手术时长,对两种手术方式进行对比。结果观察组住院时间、放置引流管时间、术中出血量、手术时长明显优于对照组,其数据对比差异具有统计学意义(P<0.05)。结论对胆囊疾病患者实施腹腔镜胆囊次全切除术,具有显著效果,值得临床推广。Objective To analyze the value of subtotal laparoscopic cholecystectomy in difficult cholecystectomy.Methods Sixty-eight patients with difficult cholecystectomy in our hospital from January to December 2016 were selected and randomly divided into observation group(34 cases)and control group(34 cases),patients in control group were given laparoscopic cholecystectomy and observation group were performed subtotal laparoscopic cholecystectomy.The hospitalization time,drainage tube placement time,intraoperative blood loss and operation time were compared between two groups.Results The length of hospital stay,drainage tube placement time,intraoperative blood loss and operation duration were significantly better in the observation group than those in the control group(P<0.05).Conclusion Laparoscopic subtotal gallbladder resection for patients with gallbladder disease has significant effect and is worthy of clinical promotion.

关 键 词：困难性胆囊切除 腹腔镜胆囊次全切除术 疗效分析 

分 类 号：R657.4[医药卫生—外科学]