腹腔镜胆道镜胆总管探查取石术与开腹手术临床疗效比较

Clinical efficacy comparison of laparoscopic common bile duct exploration choledochoscope lithotomy and laparotomy

目的:探讨腹腔镜胆道镜胆总管探查取石术与开腹手术的临床疗效差异。方法:回顾性分析85例胆囊结石合并胆总管结石患者的临床资料。结果:腹腔镜胆道镜胆总管探查取石术组的术中失血量,肠功能恢复时间,术后住院时间与开腹手术组比较,差异具有统计学意义(P<0.05)。结论:腹腔镜胆道镜胆总管探查取石术与开腹手术比较,具有术中失血少,肠功能恢复快,术后住院时间短的特点,最主要是具有微创的特点,随着腹腔镜手术经验的积累及器械的不断改进和完善,腹腔镜胆道镜胆总管探查取石术必将有更大的发展空间,值得临床推广应用。

Objective To explore the clinical efficacy of laparoscopic common bile duct exploration cholangioscopy lithotomy and open surgery.Method A retrospective analysis was made on the clinical data of 85 patients with cholecystolithiasis combined with common duct stones admitted to hospital in recent years.Results The intraoperative blood loss,intestinal function recovery time and postoperative hospital stay of patients in laparoscopic common bile duct exploration cholangioscopy lithotomy group showed significant difference with the patients in open surgery group（P0.05）.Conclusion Compared with open surgery,laparoscopic common bile duct exploration cholangioscopy lithotomy with the features of less intraoperative blood loss,faster recovery of bowel function,shorter postoperative hospital stay,and the most important feature is minimally invasive.With the accumulation of laparoscopic surgery experiences and constant improvement and refine of instruments,laparoscopic common bile duct exploration cholangioscopy lithotomy will have more place to develop,and is worthy of clinical use.