腹腔镜胆囊切除术与传统开放手术对比研究

Comparative study of laparoscopic cholecystectomy and traditional open cholecystectomy

目的旨在探讨腹腔镜胆囊切除术(LC)与传统开腹手术(OC)的临床效果与安全性。方法将104例良性胆囊疾病患者分为LC组(采取腹腔镜胆囊切除术)74例和OC组(采取传统开腹胆囊切除术)70例,观察两组患者手术及术后并发症发生情况,进行统计学比较。结果 LC组病人的手术所用时间、出血量、切口大小、肠道功能的恢复时间、术后镇痛药物使用及住院时间均少或短于OC组。LC组有1例发生切口感染,OC组5例发生切口感染,2例切口局部血肿,LC组术后并发症发生率明显低于OC组。结论 LC与OC相比较,降低了病人损伤程度、加快了术后恢复速度、减少了并发症的发生,LC是治疗良性胆囊疾病较好的手术方式,临床应该借鉴应用。

Objective To probe clinical efficacy and safety of laparoscopic cholecystectomy（LC） and traditional open cholecystectomy（OC）. Methods 104 patients with benign gallbladder disease were divided LC group（74 cases） and OC group（70 cases）. The operative and postoperative complications of two groups were observed and compared. Results There were significant difference in operation time,volume of blood loss during operation,length ofincision,gastrointestinalfunction restoring time,postoperative use of analgesics and hospital stay between two groups. In LC group, infections ofincision in 1 patient;In OC group, infections ofincisional wound in 5 patients,and local hematoma ofincision in 2 patients. The rate of complications was lower in LC group than these in OC group. Conclusion LC has strong points of slight damage,postoperative quick recovery and less complications,and is optimal operation for benign gallbladder disease.