腹腔镜手术治疗胆总管结石疗效观察

Observation on clinical curative effect of laparoscopic treatment for choledocholithiasis

目的对比分析腹腔镜与开腹手术治疗胆总管结石的临床疗效。方法随机选取胆总管结石患者42例,其中,行腹腔镜治疗17例,开腹手术治疗25例。对比两组患者手术情况、术后恢复及并发症发生率等。结果两组患者在手术时间、取石成功率、术后并发症方面比较差异无统计学意义(P>0.05),在术中出血量、术后胃肠道功能恢复时间、住院时间方面腹腔镜组均优于开腹手术组(P<0.05)。结论通过外科手段治疗胆总管结石,腹腔镜较开腹手术具有住院时间短、创伤小、恢复快等优点,值得临床进一步推广及应用。

Objective To analyze the clinical curative effects of laparoscopic and open surgical procedure treatment for eholedocholithiasis. Methods Forty two patients with eholedocholithiasis were randomly chosen, 17 patients received thera- peutic laparoscopy treatment while 25 patients received laparotomy treatment. Hospitalization time and complication after surgery between the two groups were compared. Results There was no remarkable difference between tWO groups in opera- tion time, calculus successfully removed ratio and complication after surgery （P 〉 0.05）. In bleeding volume, recovery time of gastrointestinal function and hospitalization time, the laparoscopic group was significantly better than the open group （P 〈 0.05）. Conclusion Treating patients with choledocholithiasis through surgery, compared with the conventional open group, the laparoscopic group has the advantage of short hospitalization time, small trauma, quick retrieval and so on, and it is worthy to be popularized and utilized in clinic.