腹腔镜与开腹手术治疗急性胆囊炎的对比分析

Laparoscopic cholecystectomy vs open cholecystectomy in treating acute cholecystitis

目的比较腹腔镜和开腹胆囊切除术治疗急性胆囊炎的临床效果。方法回顾性分析48例腹腔镜胆囊切除术(LC)与44例开腹胆囊切除术(OC)患者的临床资料,对比2组患者术中情况、术后恢复和并发症发生情况。结果LC组的切口长度、术中出血量、置引流例数、手术时间均少于OC组,有显著性差异(P<0.05);术后肠鸣音恢复时间、用止痛药例数、开始下床活动时间、住院时间少于OC组,有显著性差异(P<0.05);LC组和OC组的术后并发症发生率分别为10%和21%。结论腹腔镜胆囊切除术治疗急性胆囊炎的临床效果优于开腹手术,值得临床推广应用。

Objective It is to compare the clinical effects of laparoscopic cholecystectomy（LC） and open cholecystectomy （OC） on acute cholecystitls. Methods The clinical data of 48 patients accepted LC and 44 patients accepted OC were retrospectively analyzed, the perioperative conditions, postoperative recovery and occurrence of complications were compared between the two groups. Results The length of incision and duration of operation in the LC group were obviously shorter than those in the OC group （P 〈 0.05）, and the perioperative amount of bleeding and the cases accepted the placement of drain tube were significantly fewer than those in the OC group （ P 〈 0.05）. Postoperatively, the duration for the recovery of bowel sounds, duration for the beginning of out-of-bed activities and the length of stay in the LC group were significantly shorter than those in the OC group （P〈0.05）, and the cases taking antalgica were markedly fewer than those in the OC group （P〈 0.05）. The incidence rates of postoperative complications were 10.4 96 and 20.5 96 in the LC group and OC group respectively. Conclusion LC has better clinical effects than OC in treating acute cholecystitis, and LC is worthy of being spread in clinical application.