三孔法腹腔镜胆道术与传统开腹胆道术的比较  

Comparison of three port laparoscopic biliary tract surgery and traditional open biliary tract surgery

作　　者：蒋林哲[1] 吕鹏[2] 孟宪颖[1] 王月华[3] JIANG Linzhe;LÜPeng;MENG Xianying;WANG Yuehua(Jilin People's Hospital:Department of Hepatobiliary and Pancreatic Surgery,Jilin City,Jilin Province,132001;Jilin People's Hospital:Department of Anesthesiology,Jilin City,Jilin Province,132001;Department of Pathogenic Technology,Jilin Medical University,Jilin City,Jilin Province,132013,China)

机构地区：[1]吉林市人民医院肝胆胰外科,吉林吉林132001 [2]吉林市人民医院麻醉科,吉林吉林132001 [3]吉林医药学院病原技术教研室,吉林吉林132013

出　　处：《吉林医药学院学报》2021年第4期251-253,共3页Journal of Jilin Medical University

摘　　要：目的比较三孔法3D腹腔镜胆囊切除、胆道探查术与传统开腹胆囊切除、胆道探查治疗胆囊结石合并胆总管结石的疗效。方法60例胆囊结石合并胆总管结石患者随机分为观察组(腹腔镜组)30例和对照组(传统开腹组)30例。观察两组临床指标及愈后情况。结果观察组切口长度、术中出血量、手术时间、术后排气时间、术后下床时间、住院时间均显著少于对照组,具有统计学意义(P<0.05)。结论三孔法3D腹腔镜胆道探查术疗效好,节省医疗资源。Objective To compare the efficacy of three port 3D laparoscopic cholecystectomy and bile duct exploration with traditional open cholecystectomy and bile duct exploration in the treatment of cholecystolithiasis combined with choledocholithiasis.Methods Sixty patients with cholecystolithiasis and choledocholithiasis were randomly divided into observation group(laparoscopic group)and control group(traditional open group).The clinical indexes and the prognosis of the two groups were observed.Results The incision length,intraoperative blood loss,operation time,postoperative exhaust time,postoperative ambulation time and hospitalization time of the observation group were significantly less than those of the control group,with statistical significance(P<0.05).Conclusion Three hole 3D laparoscopic biliary exploration is effective and can save medical resources.

关 键 词：腹腔镜胆囊切除术 胆道探查术 开腹手术 胆总管结石 

分 类 号：R575.6[医药卫生—消化系统]