腹腔镜胆囊切除术与小切口胆囊切除术的比较

A Comparison of laparoscopic cholecystectomy with minilaparotomy cholecystectomy

目的:探讨胆囊切除术适应证患者的理想术式。方法:回顾219例腹腔镜胆囊切除术(LC)与107例小切口胆囊切除术(MC)的临床资料,从手术适应证、手术创伤、并发症、术后恢复经过等方面对比分析两者的优缺点。结果:两者比较,LC创伤小,术后并发症较多。MC手术适应证宽。两者术后恢复差异无显著性。结论:两种术式各有优缺点,其中一种术式并不适应所有胆囊切除适应证的患者。选择何种术式,应根据患者的具体情况决定。

Objective:To explore the ideal method for cholecystectomy.Methods: The indications,surgical trauma,complications and postoperative recovery between patients receiving laparoscopic cholecystectomy (n=219) and those receiving minilaparotomy cholecystectomy(107) were compared retrospectively.Results: Laparoscopic cholecystectomy resulted in less surgical trauma,but more postoperative complications.Minilaparotomy cholecystectomy was performed with a greater variety of indications.There was no significant difference in the postoperative recovery between the two groups.Conclusions:There is no significant overall a advantage of one method over the other.An appropriate choice for the method of cholecystectomy should be made based on the characteristics of the patient.