腹腔镜胆囊切除与剖腹胆囊切除疗效的比较研究

Comparison between the effects of laparoscopic cholecysteceomy with operative cholecvstecomy

对腹腔镜胆囊切除4033例(A组)和剖腹胆囊切除3000例(B组)疗效进行比较。A、B两组术前伴随疾病和腹部手术史比较无显著性差异(P>O.05),A组麻醉时间、手术时间、住院天数、输液天数、恢复工作时间显著短于B组(P<0.01)。A组手术中、手术后、并存病的并发症和死亡率显著低于B组(P<0.01)。结果表明腹腔镜胆囊切除在适应证、手术操作、并存病、术后恢复、降低并发症和死亡率明显优于剖腹胆囊切除术。

4033 patients receiving laparoscopic cholecystectomy (groupA) and 3000 cases re- ceiving operative cholecysterctomy (group B) were reported in this article. No significant difference in accompanying diseases and previ- ous abdominal operations was found between group A and group B (P>0.05). Anesthetic time, operation time, days of hospital stay, days of infusion and time interval between op- eration and return to work in group A were obviously shorter than in group B (P<0.01). Intra-operative and post-operative complica- tion, accompanying diseases and mortality in group A were significantly lower than those in group B. The results indicated that laparo- scopic cholecystectomy was superior to opera- tive cholecystectomy.