微创小切口及腹腔镜下胆囊切除术的研究

Comparative study on minimally invasive incision cholecystectomy and laparoscopic cholecystectomy

目的探讨小切口与腹腔镜胆囊切除术的适应证、手术方法及临床效果。方法我院收治的需行胆囊切除术的胆囊疾病患者175例,分别按照各自的适应证行腹腔镜手术94例,行小切口手术81例。结果腹腔镜胆囊切除术手术时间、术后肠功能恢复时间和住院天数少于小切口胆囊切除术(P<0.05),但是总花费高于行小切口胆囊切除术患者(P<0.05)。结论根据患者个体情况,制定个性化方法,可取得较好临床效果。

Objective To investigate the indications, operation approach and clinic effects of minimally invasive incision cholecystectomy and laparoscopic cholecystectomy. Methods 175 patients identified as gallbladder disease who had to receive cholecystectomy in our hospital were enrolled in the study. The operation approaches were selected according to individual indication, 94 patients underwent laparoscopic cholecystectomy and 81 patients underwent minimally invasive incision cholecystectomy. Results The operation time, intestines functional recovery time after operation and hospital days in laparoscopic cholecystectomy were significandy fewer than those of minimally invasive incision cholecystectomy, but the total expense was higher than that of minimally invasive incision cholecystectomy. Conclusion To select individual operation approach according to individual situation can get better clinical effects.