腹腔镜胆囊切除术与开腹胆囊切除术疗效对比分析

Comparison between effects of laparoscopic cholecystectomy and open cholecystectomy

目的比较腹腔镜胆囊切除术与开腹胆囊切除术的临床疗效。方法将229例具有手术指征需行胆囊切除的胆囊良性疾病患者完全随机分为腹腔镜胆囊切除术组114例和传统开腹胆囊切除术组115例，分别进行腹腔镜胆囊切除术与传统开腹胆囊切除术，对术中、术后情况进行比较与分析。结果腹腔镜胆囊切除术组手术切口、手术时间、术中出血量、术后肠功能恢复时间、住院时间分别为（2．7±0．2）enl、（57．5±8．8）min、（33．7±12．0）ml、（14．7±5．0）h、（3．8±0．7）d与传统开腹胆囊切除术组（7．0±1．1）cm、（82．8±11．9）min、（85．6±20．0）ml、（48．2±9．6）h、（7．4±0．9）d比较，差异有统计学意义（P〈0．05）。结论腹腔镜胆囊切除术创伤小、痛苦少、可减少对机体的创伤，术后恢复快，是治疗胆囊良性疾患的首选方法，但要注意避免相关并发症。

Objective To compare the effects of laparoscopic cholecystectomy and open cholecystectomy. Methods Two hundred and twenty-nine patients were randomly divided into laparoscopic cholecystectomy group （LC group） and open cholecystectomy group（ OC group）. Intraoperative and postoperative indexes were analyzed. Results Incision length, surgery duration, blood loss, bowel function recovery time in LC group were （2.67 ± 0.23 ） cm, （57.54 ± 8.78 ） min, （ 33.68 ± 11.99 ） ml, （ 14.66± 5.02 ） h, （ 3.75 ± 0.72 ） d ] respectively, showing significant differences from OC group [ （7.01 ± 1.12 ）cm, （82.82 ± 11.88 ）min, （85.56± 20.05 ）ml （48.15 ± 9.56）h,（7.44 ±0.92）d] （P〈0.05）. Conclusion Laparoscopic Cholecystectomy provides small incision, less pain and trauma and fast recovery for patients with benign gallbladder disease. However, the related complications should be taken into consideration.