腹腔镜与传统开腹手术治疗胆总管结石的应用

Laparoscopic and Conventional Laparotomy for the Application of Common Bile Duct Stones

目的探讨腹腔镜胆囊切除+胆总管切开探查取石术与传统开腹手术治疗胆总管结石的疗效。方法对我院胆总管结石患者各80例分别根据手术方法不同随机分为A组(腹腔镜胆囊切除+胆总管切开探查取石术)和B组(传统开腹手术),比较2组的手术情况。结果 A组的手术用时明显短于B组(P<0.01),A组出血量少于B组(P<0.01),2组下床活动时间、平均住院时间比较,A组下床活动时间、住院时间明显短于B组(P<0.01)。A组的术后疼痛发生率及并发症发生率明显低于B组(P<0.05)。结论腹腔镜胆囊切除+胆总管切开探查取石术与传统开腹手术治疗胆总管结石比较,具有手术时间短、术中出血少、住院时间短等优点。

Objective Laparoscopic common bite duct exploration ＋ lithotomy traditional open surgery and the efficacy of treatment of common bile duct stones.Methods 80 cases of common bile duct stone patients were randomly divided into two different surgical methods according to A and B,compared two groups of surgery.Results A group of operating time was shorter than B group （P〈0.01）,A group of bleeding was less than B group （P〈0.01）,two sets of bed activity,the average length of stay comparison,A group of bed activity,hospital stay was significantly shorter than the B group,the difference was statistically significant （P〈0.01）.A group of the incidence of postoperative pain and complications were significantly lower than the B group,the difference was statistically significant （P〈0.05）.Conclusion Laparoscopic common bile duct exploration ＋ lithotomy of common bile duct and traditional open surgery stones compared with shorter operative time,less bleeding,shorter hospital stay and so on.