胆囊抽吸在腹腔镜胆囊切除术中的应用

Application and therapeutic effect of gallbladder aspiration during laparoscopic cholecystectomy

目的探讨胆囊抽吸在腹腔镜胆囊切除术中对患者术中术后的影响。方法将200例胆石症病人随机分为两组,A组100例,为腹腔镜胆囊切除前进行胆囊抽吸;B组100例,未进行胆囊抽吸。同时观察患者手术时间、术中并发症、住院时间、术后并发症等。结果A组的胆囊穿孔率显著低于B组(P=0.0003),A组的手术时间(46.70±15.93min)显著短于B组(60.75±22.09)min(P=0.047),A组患者的住院时间[(3.6±0.5)d]显著短于B组[(3.6±0.5)d、(4.5±0.8)d](P=0.004)。B组术中、术后并发症均显著多于A组(P=0.62,P=0.02)。结论胆囊抽吸在LC中具有缩短手术时间、降低胆囊穿孔率、减少并发症的优点,值得推广。

Objective To investigate the effects of gallbladder aspiration during laparoscopie cholecystectomy （LC） on the operative and postoperative course of patients. Methods For this study,200 patients undergoing LC for symp-tomatic eholelithiasis were randomly divided into two groups. Gallbladders were aspirated before dissection in group A （n=100） ,and they were not aspirated in group B （n=100）. The operative time,complications during the operation,hospital stay, and postoperative complications were also abserved. Results The rate of gallbladder perforation was significantly lower in group A than in group B （P =0.0003）. The operative time was significantly shorter in group A （46.70±15.93 min） than in group B （ 60.75±22.09 min） （P=0.047 ）. The hospital stay was significantly longer in group B （3.6 ±0. 5 days） than in group A （4.5 ±0.8 days;P = 0. 004 ）. The complications during operation and postoperation of group B were both more than those in group A （ P = 0.62, P = 0.02 respectively）. Conclusion The gallbladder aspiration during LC could shorter the operative time, lower the perforation of gallbladder rate and decrease the complication, and it should be widely used.