小切口胆囊切除术与腹腔镜胆囊切除术的对比研究

Comparative study of mini-incision cholecystectomy and laparoscopic cholecystectomy

目的对比小切口胆囊切除术（MC）与腹腔镜胆囊切除术（LC）在胆囊切除方面的优劣。方法选取需行胆囊切除术的胆囊疾病患者168例，按随机数字表法分为MC组（90例）和LC组（78例），比较两组临床疗效。结果MC组手术时间[（37．2±12．3）min]比LC组[（51．6±14．6）min]明显缩短（P〈0．05）。MC组、LC组住院时间分别为（1．7±1．1）、（1．8±0．9）d，痊愈时间分别为（15．9±3．2）、（14．8±4．9）d，两组比较差异均无统计学意义（P〉0．05）。体重指数对两组的手术时问和术后恢复时间无影响。结论对于非复杂性胆囊结石，MC与LC相比，手术时间短，术后患者恢复时间相近。MC更适合肥胖患者行胆囊切除手术。

Objective To compare the effect of mini-incision cholecystectomy （MC） and laparoscopic cholecystectomy（LC）. Methods Totally 168 patients with gallbladder disease were treated by cholecystectomy, they were divided into MC group （90 cases ） and LC group （78 cases ） using random digits table,and comparing the clinical effect between the two groups. Results The operating time was significantly shorter in MC group [（37.2 ± 12.3） mini than that in LC group [（51.6 ± 14.6） mini（P〈 0.05）. The length of stay and postoperative recovery time were （ 1.7 ± 1.1 ）, （ 15.9 ± 3.2） d in MC group, （ 1.8 ± 0.9）, （ 14.8 ± 4.9） d in LC group, there was no significant difference between the two groups （P 〉 0.05）. Body mass,index had no influence to the operating time and postoperative recovery time. Conclusions With not complexity cholecystolithiasis, compared with LC, MC had shorter operating time, but no significant difference in postoperative recovery time. The MC procedure also seems to be suitable for the obese patients.