腹腔镜胆囊切除术与小切口胆囊切除术的手术效果对比研究

Study on the effect of laparoscopic cholecystectomy and small-incision cholecystectomy surgery

目的对比分析腹腔镜胆囊切除术与小切口胆囊切除术的手术效果，旨在为临床手术方法的选择提供指导依据。方法将2009年1月～2012年1月35例于我院行腹腔镜胆囊切除术治疗的患者设立为A组，同期按照1：1比例取35例行开腹小切口胆囊切除术患者设立为B组，比较两组的手术时间、术中出血量、肠功能恢复时间、住院时间及并发症（包括切口感染、出血、放射痛、术后胆漏、十二指肠损伤）。结果与B组比较，虽然A组手术时间长，但术中出血量少于B组，术后肠功能恢复时间快于B组，住院时间短于B组（P〈0．05）。A组无一例发生切口感染、术后胆漏、十二指肠损伤，仅出血1例，B组出现切口感染、出血、术后胆漏、十二指肠损伤、放射痛例数明显多于A组（P〈0．05）。结论腹腔镜胆囊切除术术后恢复较快，临床治疗效果显著，值得临床推广应用。

Objective To compare and analyze the effect of laparoscopic cholecystectomy and small-incision cnolecystec- tomy surgery. Methods From January 2009 to January 2012, 35 patients with laparoscopic cholecystectomy set up for the A group, at the sametime, 35 cases abdominal small incision cholecystectomy patients set up group B, the operative time, blood loss, intestinal function recovery time, hospital stay, and complications （including wound infection, bleeding, radiating pain, postoperative bile leakage, duodenal injury） were compared between two groups. Results Compared with Group B, Group A had a long surgery time, but less blood loss in group B, postoperative intestinal function recovery time was faster than the B group, shorter hospital stay in group B （P 〈 0.05）. Group A had no case of wound infection, bile leakage after duodenal injury, bleeding in 1 case only, group B had incision infection, bleeding, postoperative bile leakage the duodenal injury significantly more than the number of cases in group A（P 〈 0.05）. Conclusion Laparoscopic cholecystectomy postop- erative recovery was rapid, clinically significant treatment effect, worthy of clinical application.