荧光胆道显影在腹腔镜复杂胆囊切除术中的应用  

Observation of clinical effect of fluorescent cholangiography in laparoscopic complicated cholecystectomy

作　　者：刘养岁[1] 张昕辉[1] 李正臣 齐敦峰 李欢送[1] Yang-sui Liu;Xin-hui Zhang;Zheng-chen Li;Dun-feng Qi;Huan-song Li(Department of Hepatobiliary Surgery,Xuzhou Central Hospital,Xuzhou,Jiangsu 221009,China)

机构地区：[1]徐州市中心医院肝胆胰外科,江苏徐州221009

出　　处：《中国现代医学杂志》2021年第7期69-73,共5页China Journal of Modern Medicine

摘　　要：目的探讨荧光胆道显影技术在腹腔镜复杂胆囊切除术中的应用。方法选取2018年9月—2019年8月于徐州市中心医院收治的复杂胆囊切除患者100例,按照不同手术方法分为试验组和对照组,每组50例。对照组使用常规腹腔镜胆囊切除术;试验组在荧光胆道显影下行腹腔镜胆囊切除术。观察两组患者术中相关情况,术后恢复情况及手术并发症。结果试验组手术时间短于对照组,术中出血量少于对照组(P<0.05)。试验组肛门排气时间、术后住院时间较对照组短(P<0.05)。试验组并发症总发生率较对照组低(P<0.05)。结论荧光胆道显影能够改善复杂腹腔镜复杂胆囊切除术中情况,降低手术相关并发症,有效促进患者术后康复。Objective To investigate the clinical effect of fluorescent cholangiography in the laparoscopic complicated cholecystectomy.Methods One hundred patients underwent the laparoscopic complicated cholecystectomy from September 2018 to Aguest 2019 in XuZhou Central Hospital were selected and divided into two group according to the surgical procedures,with 50 cases in each group.The control group was implemented with conventional surgery;the observation group was given the operation fluorescent cholangiography in laparoscopic cholecystectomy.Perioperative condition of patients in the two groups was observed;conditions of surgical,postoperative recovery,surgical complications of patients in the two groups were compared.Results Time of operation in the observation group was shorter than the control group(P<0.05);intraoperative blood loss was less than the control group(P<0.05);the anal exhaust time and the time of postoperation hospital stay in the observation group were less than the control group(P<0.05);the total incidence of surgical complications in the observation group was lower than the control group(P<0.05).Conclusion Fluorescent cholangiography in the laparoscopic complicated cholecystectomy can effectively improve the operative situation,reduce the incidence of surgical complications,and shorten the time to improvement in clinical symptoms.

关 键 词：放射自显影术 胆囊切除术 腹腔镜 手术后并发症 

分 类 号：R657.4[医药卫生—外科学]