腹部手术史患者行腹腔镜胆囊切除术的疗效研究

Laparoscopic Cholecystecomy for Patients with a History of Abdominal Surgery

目的探讨对有腹部手术史的病人行腹腔镜胆囊切除术(LC)的临床疗效。方法回顾性对照研究既往有腹部手术史的病人进行腹腔镜胆囊切除临床资料,其中研究组60例,对照组80例。结果研究组手术时间为(96±37)min,中转开腹率3.33%(2/60),手术并发症发生率0,术后留置引流率8.3%(17/60),术后住院时间(3.0±0.5)d;对照组分别为手术时间(87±29)min,中转开腹率1.25%(1/80),手术并发症发生率0,术后留置引流率2.5%(2/80),术后住院时间为(2.5±0)d。研究组较对照组在手术时间、中转开腹率和手术并发症方面差异无显著性。在住院时间及术后留置引流方面研究组较对照组存在差异,具有统计学意义(P<0.05)。结论有腹部手术史病人行LC是安全可行的。

Objective To investigate the feasibility of laparoscopic cholecystecomy（LC） for patients with a history of abdominal surgery. Methods A retrospective case-control study was carried out in LC patients with a history of abdominal surgery. There were 60 patients in experiment group and 80 patients in control group. Results The operative time[（96 ± 37 ）min vs（ 87± 29 ）min], the conversion rate [3.33%（2/60） vs 1.25%（ 1/80）] and the incidence rate of postoperative complications （0 vs 0） were no significant difference between the two groups. The rate of keeping the draught tube of the experiment group was higher than that of the contronl group [8.3%（ 17/60）vs2.5%（2/80）] and the postoperative hospital stay in group experiment was longer than that in group control（3.0 ± 0.5 vs 2.5 ± 0） ,with a significant difference between the two groups （P〈 0.05 ）. Conclusion It is safe and feasible for patients with a history of abdominal surgery to receive LC.