腹腔镜胆囊切除术的临床疗效观察

Laparoscopic cholecystectomy clinical observation

目的观察小切口胆囊切除术(MC)及腹腔镜胆囊切除术(LC)对胆囊疾患的治疗作用。方法收集2008年1月～2009年3月良性胆囊疾患患者124例,随机分为两组各62例,另选取同期行传统胆囊开腹手术的患者62例作为对照。Ⅰ组应用小切口胆囊切除术治疗;Ⅱ组应用腹腔镜胆囊切除术治疗;Ⅲ组应用常规开腹行胆囊切除术。观察三组患者手术切口长度、手术时间、手术中出血量、术中疼痛情况、术后并发症、术后胃肠功能恢复时间、术后下床时间、住院天数等。结果Ⅰ组、Ⅱ组的手术时间、切口长度及术中出血量均少于Ⅲ组,而Ⅰ组、Ⅱ组的手术时间、切口长度及术中出血量之间比较,差异无统计学意义(P>0.05)。Ⅰ组、Ⅱ组患者术后下床活动时间、胃肠功能恢复时间及住院天数均少于Ⅲ组,但Ⅰ、Ⅱ组间差异无统计学意义(P>0.05)。结论小切口胆囊切除术(MC)及腹腔镜胆囊切除术(LC)治疗胆囊疾患能收到良好的疗效,均优于传统方法 。

Objective： To observe the laparoscopic cholecystectomy on the treatment of gallbladder disease.Methods： A retrospective analysis in January 2008 to March 2009 124 cases of benign gallbladder disease in patients with clinical data.Results：GroupⅠ,groupⅡ operation time,incision length and blood loss during both types of group Ⅲ and Ⅰ,Ⅱgroup operation time,incision length and blood loss between the difference was not statistically significant.Conclusion： Laparoscopic cholecystectomy（LC） treatment of gallbladder disease to receive good effect,are better than traditional methods.