腹腔镜联合胆道镜微创手术与开腹手术治疗胆囊结石合并胆总管结石的疗效比较

Comparison of Laparoscopic Choledocholithotomy Combined with Choledochoscopy and Traditional Choledochotomy in Treatment of Cholelithiasis and Choledocholithiasis

目的:比较分析腹腔镜联合胆道镜微创手术与开腹手术治疗胆囊结石合并胆总管结石的疗效。方法:将2009年10月-2011年5月因胆囊结石合并胆总管结石行手术治疗的100例患者,分为微创手术组和开腹手术组,分析比较微创手术组与开腹手术组之间患者的手术时间、术后通气所需时间与镇痛药使用情况、住院时间与完全康复时间。结果:与开腹组相比:微创组患者的手术时间之间无明显差异;但微创组术后通气时间。住院时间与完全康复时间、镇痛药的使用率均明显短于或低于开腹组(P<0.05)。结论:对合适的患者,腹腔镜联合胆道镜微创手术入路治疗胆囊结石合并胆总管结石能够获得良好的效果,值得借鉴。

Objective： To compare the effect oflaparoscopic choledocholithotomy combined with choledochoscopy and traditional choledochotomy in treatment of cholelithiasis and choledocholithiasis. Methods： 100 patients with cholelithiasis and choledocholithiasis from October 2009 to May 2011 were treated with surgical operation. They were divided randomly and averagely into two groups： mini- really invasive surgery group treated with laparoscopy and choledochoscopy and traditional choledochotomy group. The surgical time, use of Analgetika, complication, days in hospital after operation were observed and compared. Results： The operation time between the two groups had no significant difference. Compared with traditional choledochotomy group, minimally invasive surgery group had lower use rate of Analgetika, shorter ventilation time, shorter recovery time of intestinal tract function, fewer complication and shorter stay in hospital （P〈0.05）. Conclusion： Laparoscopic choledocholithotomy combined with choledochoscopy in treating cholelithiasis and choled- ocholithiasis is safe and feasible with availed effect of minimal invasiveness.