膜解剖的腹腔镜下胆囊全层切除术治疗胆囊局灶性病变的安全性分析  

Safety of membrane anatomy-guided laparoscopic full-thickness cholecystectomy for focal gallbladder lesions

作　　者：陈东杰 许明辉[1] 单强[1] 高峰[2] 周向华[3] 吴丽琴 徐思迪 CHEN Dongjie;XU Minghui;SHAN Qiang;GAO Feng;ZHOU Xianghua;WU Liqin;XU Sidi(Department of Hepatobiliary Surgery,Haining People’s Hospital,Haining,Zhejiang 314400,China;Department of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310000,China;Department of Pathology,Haining People’s Hospital,Haining,Zhejiang 314400,China)

机构地区：[1]海宁市人民医院肝胆外科,浙江海宁314400 [2]浙江大学医学院附属第一医院肝胆胰外科,浙江杭州310003 [3]海宁市人民医院病理科,浙江海宁314400

出　　处：《肝胆胰外科杂志》2023年第8期475-478,共4页Journal of Hepatopancreatobiliary Surgery

摘　　要：目的探讨利用Laennec膜行腹腔镜下胆囊全层切除术治疗胆囊局灶性病变的临床应用安全性。方法回顾性分析于2021年6月至2022年1月在海宁市人民医院行腹腔镜下胆囊全层切除术22例(胆囊全层切除术组)及腹腔镜下胆囊切除术30例(常规手术组)患者的病例资料。比较两组手术时间、术中出血量、术后住院时间及术后并发症情况。结果两组均顺利完成手术,胆囊全层切除术组手术时间较常规手术组长[(55.40±18.01)min vs(43.40±7.11)min,t=2.961,P=0.002];两组术中出血量[20.00(5.00,30.00)mL vs 17.50(5.00,37.50)mL,Z=-0.465,P=0.642]、术后住院时间[(2.77±0.42)d vs(2.60±0.49)d,t=1.118,P=0.134]差异均无统计学意义,术后均无需要临床干预的并发症发生。结论腹腔镜下胆囊全层切除术是安全可行的,且能避免切入胆囊,可用于胆囊良性局灶性病变的治疗。Objective To evaluate the clinical safety of laparoscopic full-thickness cholecystectomy through Laennec capsule in treatment of focal gallbladder lesions.Methods A retrospective study was conducted on 22 patients who underwent laparoscopic full-thickness cholecystectomy(full-thickness cholecystectomy group)and 30 patients who underwent conventional laparoscopic cholecystectomy(routine operation group)at Haining People’s Hospital from Jun.2021 to Jan.2022.The operation time,intraoperative blood loss,postoperative hospitalization time and postoperative complications of the two groups were compared.Results Both groups were successfully completed the surgery.The operation time in full-thickness cholecystectomy group was longer than that in routine operation group[(55.40±18.01)min vs(43.40±7.11)min,t=2.961,P=0.002].There was no statistical significant difference in intraoperative blood loss[20.00(5.00,30.00)mL vs 17.50(5.00,37.50)mL,Z=-0.465,P=0.642],and postoperative hospitalization time[(2.77±0.42)d vs(2.60±0.49)d,t=1.118,P=0.134]between the two groups.Furthermore,there were no postoperative complications requiring clinical intervention in either group.Conclusion Laparoscopic full-thickness cholecystectomy is safe and feasible,avoiding incision into the gallbladder,and can be used for the treatment of benign focal gallbladder lesions.

关 键 词：腹腔镜胆囊切除术 全层切除术 Laennec膜 胆囊局灶性病变 

分 类 号：R657.4[医药卫生—外科学]