完全腹腔镜下规则性左肝切除术治疗左肝胆管结石的临床研究  

Clinical Study of Complete Laparoscopic Regular Left Hepatectomy for Left Hepatolithiasis

作　　者：朱雷 潘迪飞[2] ZHU Lei;PAN Di-fei(Department of Hepatobiliary and Gastrointestinal Surgery, Laiwu Iron and Steel Group Co., Ltd, Jinan, Shandong Province, 271100 China;Department of Neurosurgery, Laiwu Iron and Steel Group Co, Ltd, Jinan, Shandong Province, 271100 China)

机构地区：[1]莱芜钢铁集团有限公司医院肝胆胃肠外科,山东济南271100 [2]莱芜钢铁集团有限公司医院神经外科,山东济南271100

出　　处：《中外医疗》2019年第15期88-90,共3页China & Foreign Medical Treatment

摘　　要：目的探究完全腹腔镜下规则性左肝切除术对左肝胆管结石的治疗效果。方法方便选取2017年1月-2018年12月期间收治的80例左肝胆管结石患者作为研究对象,以随机数字表法将其分入对照组(40例)和研究组(40例),对照组采取传统开腹手术,研究组下去完全腹腔镜下规则性左肝切除术。比较两组的术中出血量、术后并发症发生率、肛门排气时间、下床时间、住院时间等指标。结果研究组的术后并发症发生率为5%,低于对照组20%的术后并发症发生率,差异有统计学意义(χ^2=4.114,P=0.043<0.05)。研究组术中出血量为(104.23±57.11)mL,少于对照组的(369.21±67.65)mL,差异有统计学意义(t=18.929,P=0.000<0.05);研究组肛门排气时间、下床时间、住院时间分别为(1.92±0.13)d、(2.30±0.15)d、(10.62±2.12)d,短于对照组的(3.98±0.36)d、(4.98±0.27)d、(16.08±5.26)d,差异有统计学意义(t=34.039,54.877,6.089,P=0.000<0.05)。结论完全腹腔镜下规则性左肝切除术对左肝胆管结石有显著治疗效果,其创伤更小,并发症少,更有利于患者术后生理功能恢复,可使患者更快地恢复健康。Objective To investigate the therapeutic effect of complete laparoscopic regular left hepatectomy on left hepatolithiasis.Methods Eighty patients with left hepatolithiasis admitted from January 2017 to December 2018 were convenient selected and enrolled in the study.They were randomly divided into the control group (40 cases) and the study group (40 cases).Traditional laparotomy was performed and the study group underwent complete laparoscopic regular left hepatectomy.The intraoperative blood loss,postoperative complication rate,anal exhaust time,bedtime,hospital stay and other indicators were compared between the two groups.Results The incidence of postoperative complications in the study group was 5%,which was lower than that in the control group (20%).The difference was statistically significant (χ^2=4.114,P=0.043<0.05).The intraoperative blood loss of the study group was (104.23±57.11) mL,which was less than that of the control group (369.21±67.65) mL.The difference was statistically significant (t=18.929,P=0.000<0.05).The anus exhaust time of the study group,the time of bedtime and hospital stay were (1.92±0.13)d,(2.30±0.15)d,(10.62±2.12)d,and shorter than the control group (3.98±0.36)d,(4.98±0.27)d,(16.08±5.26)d,the difference was statistically significant (t=34.039,54.877,6.089,P=0.000<0.05).Conclusion Complete laparoscopic regular left hepatectomy has significant therapeutic effect on left hepatolithiasis.It has less trauma and less complications.It is more conducive to the recovery of postoperative physiological function and can make patients recover health more quickly.

关 键 词：完全腹腔镜 规则性左肝切除术 左肝胆管结石 临床疗效 

分 类 号：R657[医药卫生—外科学]