开腹手术和腹腔镜手术治疗老年胆囊及胆总管结石的疗效分析

The analysis of the comparison of laparoscopic exploration of the common bile duct stones with open cholecystectomy in elderly patient

目的比较腹腔镜胆囊切除+胆总管切开探查取石术和传统开腹胆囊切除+胆总管开探查取石术的临床效果。方法 2009年3月到2012年12月我院52例老年胆总管结石患者分两组,组腹腔镜25例行腹腔镜胆切除+胆总管切开取石术;27例传统开腹胆囊切除+胆总管切开取石术。统计手术时间,术后住院时间,术后发症。结果腹腔镜组具有住院时间短,术中出血少。结论腹腔镜胆总管切开取石术完全能达到传统开腹胆道切开取石术的效果,并具有创伤小,痛苦少,恢复快的优点。

Objective To compare the effectiveness of laparoseopic exploration of the common bile duct stones （LCBDE） with open cholecysteetomy and exploration of the common bile duct stones（OCBDE）. Methods 52 elderly patients with common bile duct stone were divided into two groups. LCBDE were performed in 25 patients. OCBDE were performed in 27 patients. Data include operating time, blood loss, postoperative hospital stay, and postoperative complication. Results Postoperative hospital stay and blood loss in LCBDE were less than OCBED group. There were no significant difference in complication and stone removing rate of two groups. Conclusions Outcome of the LCBDE is satisfactory with small incision less pain and rapid recovery in elderly patient.