腹腔镜下常规Calot三角入路与经胆囊后三角解剖入路胆囊切除术治疗胆囊结石伴慢性胆囊炎患者的效果比较  

Comparison of effects of laparoscopic cholecystectomy Calot’s triangle approach and posterior triangle of gallbladder anatomic approach in treatment of patients with cholecystolithiasis and chronic cholecystitis

作　　者：席新慧 XI Xinhui(Intensive Care Unit of Tongbai County People’s Hospital,Nanyang 474750 Henan,China)

机构地区：[1]河南省桐柏县人民医院重症医学科,河南南阳474750

出　　处：《中国民康医学》2021年第3期121-122,125,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较腹腔镜下常规Calot三角入路与经胆囊后三角(PTOG)解剖入路胆囊切除术治疗胆囊结石伴慢性胆囊炎患者的效果。方法:选取114例胆囊结石伴慢性胆囊炎患者为研究对象,按照随机数字表法分为观察组与对照组各57例。两组均行腹腔镜胆囊切除术,对照组经常规Calot三角入路,观察组经PTOG解剖入路,比较两组手术视野满意度、中转开腹率和并发症发生率。结果:观察组手术视野满意度为96.49%,明显高于对照组的85.96%,差异有统计学意义(P<0.05);观察组中转开腹率为1.75%,明显低于对照组的14.04%,差异有统计学意义(P<0.05);观察组术后并发症发生率为5.26%,明显低于对照组的17.54%,差异有统计学意义(P<0.05)。结论:腹腔镜下经PTOG解剖入路胆囊切除术治疗胆囊结石伴慢性胆囊炎患者可提高手术视野满意度,以及降低中转开腹率和术后并发症发生率,优于常规Calot三角入路胆囊切除术治疗效果。Objective: To observe effects of laparoscopic cholecystectomy Calot’s triangle approach and posterior triangle of gallbladder(PTOG) anatomic approach in treatment of patients with cholecystolithiasis and chronic cholecystitis. Methods: 114 patients with cholecystolithiasis and chronic cholecystitis were selected as the research objects, and were divided into observation group and control group according to the random number table method, 57 cases in each group. Both groups were treated with laparoscopic cholecystectomy surgery. The control group received Calot’s triangle approach, while the observation group received PTOG anatomic approach. The satisfaction degree of the surgical field of view, the rate of conversion to open laparotomy and the incidence of complications were compared between the two groups. Results: The satisfaction degree of the surgical field of view of the observation group was 96.49%, which was significantly higher than 85.96% of the control group, and the difference was statistically significant(P<0.05). The rate of conversion to open laparotomy in the observation group was 1.75%, which was significantly lower than 14.04% in the control group, and the difference was statistically significant(P<0.05). Further, the postoperative complication incidence rate in the observation group was 5.26%, which was significantly lower than 17.54% in the control group, and the difference was statistically significant(P<0.05). Conclusions: Laparoscopic cholecystectomy through the PTOG anatomic approach in the treatment of the patients with cholecystolithiasis and chronic cholecystitis can improve the satisfaction degree of the surgical field of view, and reduce the rate of conversion to open laparotomy and the incidence of postoperative complications. Moreover, it is superior to conventional Calot’s triangle approach.

关 键 词：腹腔镜胆囊切除术 后三角解剖入路 胆囊结石伴慢性胆囊炎 中转开腹 并发症 

分 类 号：R657.4[医药卫生—外科学]