腹腔镜左肝叶切除治疗肝胆管结石的效果分析  

Laparoscopic Left Hepatic Lobectomy for Hepatolithiasis

作　　者：唐元贵[1] TANG Yuangui(General Surgery DepartmentChongqing Jiangjin District Hospital,chongqing 402260)

机构地区：[1]重庆市江津区中医院普外科

出　　处：《中国继续医学教育》2020年第6期106-107,共2页China Continuing Medical Education

摘　　要：目的探讨对肝胆管结石患者行腹腔镜左肝叶切除治疗的效果作分析。方法纳入时间为2017年8月-2018年8月,纳入于所在医院就诊的肝胆管结石患者56例,依据计算机表法分组,各28例。参照组行传统开腹手术,试验组行腹腔镜左肝叶切除手术,分析2组肝胆管结石患者的各临床指标值、结石残余率、并发症发生率等。结果相比于参照组,试验组肝胆管结石患者的手术时间、住院时间较长,术中出血量,手术切口较短,组间差异有统计学意义(P<0.05)。两组在并发症发生率、结石残余率方面差异无统计学意义(P>0.05)。结论对肝胆管结石患者行腹腔镜左肝叶切除治疗,效果显著,并发症得到有效控制。Objective To investigate the effect of laparoscopic left hepatic lobectomy for hepatolithiasis.Methods From August 2017 to August 2018,56 patients with hepatolithiasis were enrolled in our hospital.They were divided into 28 cases according to the computer table.The control group underwent traditional laparotomy,while the experimental group underwent laparoscopic left hepatic lobectomy.The clinical indicators,residual stone rate and complications of the two groups of patients with hepatolithiasis were analyzed.Results Compared with the control group,the operation time and hospital stay of patients with hepatobiliary calculus in the test group were longer,the intraoperative blood loss was shorter,and the surgical incision was shorter,with statistically significant differences between the groups(P<0.05).There was no significant difference in complication rate and stone residual rate between the two groups(P>0.05).Conclusion Laparoscopic left hepatic lobectomy for hepatolithiasis is effective and complications are effectively controlled.

关 键 词：腹腔镜 左肝叶 切除术 肝胆管 结石 并发症 

分 类 号：R657[医药卫生—外科学]