安全性关键术野技术在腹腔镜胆囊切除术中的应用  

Application of Safety-critical Surgical Field Technique in Laparoscopic Cholecystectomy

作　　者：曾三平 黎焕 曾志峰 李唐 张凯旋 ZENG Sanping;LI Huan;ZENG Zhifeng;LI Tang;ZHANG Kaixuan(Second Department of General Surgery,Xinyu People's Hospital,Xinyu 338000,China;不详)

机构地区：[1]新余市人民医院普外二科,江西新余338000

出　　处：《中国医学创新》2025年第8期96-99,共4页Medical Innovation of China

基　　金：新余市科技计划项目(20233090823)。

摘　　要：目的:探究安全性关键术野技术在腹腔镜胆囊切除术中的应用。方法:选取2022年1月—2024年2月于新余市人民医院各种良性胆囊疾病行腹腔镜胆囊切除术患者90例作为此次研究对象,所有患者均在手术室气管插管全麻行腹腔镜胆囊切除术,根据手术解剖方式的不同将其分为A组(安全性关键术野技术,n=45)和B组(非安全性关键术野技术,n=45)。评估两组手术时间、术中出血量、住院时间、胆道损伤发生率、术后拔管时间、腹腔引流量,以及胃肠功能恢复时间、并发症发生情况等指标的差异。结果:A组住院时间短于B组,术中出血量、腹腔引流量均少于B组,手术时间长于B组,术后拔管时间早于B组,差异均有统计学意义(P<0.05);B组胆道损伤发生率为2.22%,A组胆道损伤发生率为0,两组差异无统计学意义(P>0.05);两组术后胃肠功能恢复时间经比较差异无统计学意义(P>0.05);A组并发症发生率低于B组,差异有统计学意义(P<0.05)。结论:在腹腔镜胆囊切除术中应用安全性关键术野技术效果显著,能够缩短术后拔管及住院时间,减少腹腔引流量及术中出血量,安全性高,并发症发生率低,不易损伤胆道,促进患者术后机体快速康复愈合。Objective:To explore the application of safety-critical surgical field technique in laparoscopic cholecystectomy.Method:A total of 90 patients who underwent laparoscopic cholecystectomy for various benign gallbladder diseases in Xinyu People's Hospital from January 2022 to February 2024 were selected as the subjects of this study.All patients underwent laparoscopic cholecystectomy under tracheal intubation and general anesthesia in the operating room,and were divided into group A(safe-critical surgical field technique,n=45)and group B(non-safety-critical surgical field technique,n=45)according to different surgical anatomy methods.The difference of operation time,intraoperative blood loss,hospital stay,biliary tract injury incidence,postoperative extubation time,abdominal drainage flow,gastrointestinal function recovery time and complications between the two groups were evaluated.Result:The hospital stay of group A was shorter than that of group B,the intraoperative blood loss and intraperitoneal drainage were less than those of group B,the operation time was longer than that of group B,and the postoperative extubation time was earlier than that of group B,the differences were statistically significant(P<0.05).The incidence of biliary tract injury was 2.22%in group B and 0 in group A,there was no statistical significance between the two groups(P>0.05).There was no significant difference in the recovery time of gastrointestinal function between the two groups(P>0.05).The incidence of complications in group A was lower than that in group B,the difference was statistically significant(P<0.05).Conclusion:The application of safety-critical surgical field technique in laparoscopic cholecystectomy has significant effects,which can shorten the postoperative extubation and hospital stay,reduce the intraperitoneal drainage flow and intraoperative blood loss,with high safety,low complication rate,and not easy to damage the biliary tract,and promote the rapid recovery and healing of patients after surgery.

关 键 词：安全性关键术野技术 腹腔镜胆囊切除术 术后拔管时间 胃肠功能恢复时间 胆道损伤 并发症 

分 类 号：R65[医药卫生—外科学]