腹腔镜多脏器疾病同期手术236例临床分析

One-stage laparoscopic surgery on multi-organ diseases among 236 cases

目的探讨腹腔镜手术中多脏器疾病同期手术的可行性。方法回顾我院2003年7月至2008年3月进行的236例腹腔镜多脏器同期手术。结果234例手术顺利完成,2例中转开腹,无术后并发症发生,与单脏器疾病腹腔镜手术比较,术后恢复时间及住院时间长短无显著差别。同期手术时的医疗费用较两次手术明显降低。结论在一次腹腔镜手术中可顺利完成多种多脏器手术,手术方式更具微创优点,总的治疗费用减少。

Objective To investigate the feasibility of one-stage laparoscopic surgery on multi-organs diseases. Methods A total number of 236 cases received laparoscopic operation on multi-organs between July 2003 and March 2008. Results Out of the 236 cases,243 completed laparoscopic surgery successfully and the other two had to perform open surgery without complications. There was no significant difference on recovery time and hospitalization duration compared with single organ laparoscopic surgery. The costs of one-stage combination surgeries were significantly lower than those of double operations. Conclusion Single laparoscopic surgery on multi-organs is more microinvasive and costs much less.