腹腔镜胆囊切除术与开腹手术治疗结石性胆囊炎效果比较

Comparative analysis of laparoscopic cholecystectomy and open abdominal cystic resection in treatment of calculous cholecystitis

目的:观察腹腔镜胆囊切除术与开腹手术治疗结石性胆囊炎效果。方法:144例腹腔镜胆囊切除术患者和85例传统开腹手术患者手术时间、术中出血量,术后疼痛时间、肛门排气时间、下床活动时间,住院天数和住院总费用,术后并发症包括胆心反射、腹腔出血、胆管损伤、感染、肠粘连等情况。结果:腹腔镜组手术时间、术中出血量、术后疼痛时间、肛门排气时间、下床活动时间、住院天数及并发症明显优于开腹手术组。结论:腹腔镜胆囊切除术创伤小、并发症少、术后患者康复快,是治疗结石性胆囊炎较理想的手术方式。

To compare and analyse the effects of laparoscopic cholecystectomy and open abdominal cystic resection in the treatment of calculous cholecystitis.Methods：The clinical data of 144 cases receiving laparoscopic choleeystectomy and 85 cases receiving open abdominal cystic resection were analyzed.The operating time, bleeding amount, postoperative pain time, hospital stay and complications were compared.Results ：In laparoscopic cholecystectomy group ,the operating time, bleeding amount, postoperative pain time, hospital stay and complications were all superior to open abdominal cystic resection group.Conclusion：Laparoseopic cholecystectomy has the advantages of rapid recovery ,less pain, little bleeding,which is the ideal operation mode in the treatment of acute calculous cholecystitis.