腹腔镜胆囊切除术临床方法研究

Study of Clinical Methods for Laparoscopic Cholecystectomy

目的:探讨腹腔镜胆囊切除术在良性胆囊疾病的临床方法。方法:回顾性分析4618例LC患者的临床资料,其中4153例采用四孔法完成腹腔镜胆囊切除术,465例采用三孔法完成腹腔镜胆囊切除术,比较俩种方法的临床效果。结果:普通的腹腔镜胆囊切除术四孔法与三孔法临床效果无显著性差异(P>0.05);复杂腹腔镜胆囊切除术四孔法区域暴露好、视野清晰,手术并发症少,中转开腹率低等优点,手术时间和术中出血量方面优于三孔法(P均<0.05)。结论:四孔法LC手术术野暴露充分、手术时间短,Co2吸收少,减少CO2引起的负作用,并发症发生率低,中转开腹率低等优点。

Purpose： To research into the clinical methods for laparoscopic choleeystectomy （LC） with regard to benign gallbladder diseases. Method： The clinical data regarding 4618 LC patients is retrospectively analyzed. The LC for the 4153 patients among them was performed by 4-port method and the other 465 by 3-port method. The clinical results of the two methods are compared. Result： There is not remarkable difference between the two methods （P〉0.05） . The 4-port method for complicated LC features superior local exposure, clear field of vision, little operative complications, low intermediate laparotomy rate and other advantages while its operation duration and the amount of bleeding during operation are better than those of 3-port method （Paverage〈0.05） . Conclusion： 4-port LC operation has the advantages such as full exposure, short operation time, little CO2 absorption, reduced adverse effects of CO2 and low intermediate laparotomy rate.