两孔法免钛夹与传统腹腔镜胆囊切除术的对比研究

Comparative study on two-port non-titanium clip laparoscopic cholecystectomy with traditional laparoscopic cholecystectomy

目的:总结两孔法免钛夹腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的优点及局限性。方法:回顾分析2010年2月至2011年6月为100例患者施行LC的临床资料,将其分为两孔法免钛夹组与传统三孔法LC组,每组50例。结果:两组均无并发症发生,无一例中转开腹。两孔免钛夹法手术时间平均(48±20)min,较传统三孔法手术时间长(P<0.01),平均住院费用和镇痛剂使用率分别为(4 018.48±126.29)元与3%,均优于传统三孔法(P<0.01),两组患者住院时间无显著差异(P>0.05)。结论:两孔免钛夹法手术微创,患者痛苦小,术后康复快,费用少,而且避免了体内钛夹残留导致的并发症,是治疗胆囊良性疾病安全可靠的方法。

Objective：To evaluate the clinical value of two-port non-titanium clip laparoscopic choleeysteetomy（LC） and sum- marize its advantages and limitations. Methods ：The clinical data of 50 patients who underwent two-port non-titanium clip LC from FeLl 2010 to Jun. 2011 were analyzed retrospectively compared with that of the other 50 eases who received the three-port LC during the same period. Results：No complications and conversion to open surge~ eases occurred in two groups. Although the mean operative time in two-port group （48 -＋ 20） rain was longer than that in three-port group（ P 〈 0.01 ） ,the average c.ost and the usage rate of analgesic postoperatively in two-port group were （4 018.48 ± 126.29） Yuan and 3% respectively, which were superior to those in three-port group statistically （ P 〈 0.01 ）. No difference of hospitalization time was observed between two groups （ P 〉 0.05 ）. Conclusions：The two-port non-titanium clip LC has the advantages of reliability,less postoperative pain ,less injury, quicker recovel3~,moneysaving, no residual ti- tanium amt avoiding complications caused by displacement and migration of titanium clip. It is a safe,effective and t}easible mettlod to treat benigh gallbladder diseases.