腹腔镜多脏器联合手术的临床应用价值研究

Clinical Application Value of Laparoscopic Multiple Organ Surgery

目的探讨腹腔镜进行多脏器联合手术在临床中的应用价值及前景。方法收集2011年1月至2013年8月期间,南通大学第三附属医院及中国人民解放军第101医院行腹腔镜多脏器联合手术患者64例(观察组),并收集同期同类疾病分次行腹腔镜手术的患者64例为对照组,对比分析两组患者在手术时间、术中出血量、住院时间及费用等各方面的情况。结果观察组中有2例患者中转开腹。与对照组相比,观察组的62例患者手术时间略长,但两组结果相比,无统计学差异(P>0.05);观察组患者的术中出血量、术后下床活动时间、住院时间以及住院费用均显著低于对照组,组间差异具有统计学意义(P<0.01)。结论腹腔镜多脏器联合手术是一种安全可靠、经济合理、效果显著的腹部疾病微创术式,具有较高的临床价值及前景,值得进一步推广应用。

Objective To explore the clinical application value and prospects of laparoscopic multiple organ surgery. Methods From January 2011 to August 2013, there were 64 cases enrolled from the Third Affiliated Hospital of Nantong University and the No. 101 Hospital of Chinese People＇s Liberation Army. And another 64 cases of graded laparoscopic surgery at the same time who had similar disease were collected as the control group. The operation time, blood loss, hospitalization time and costs of these two groups were compared. Results Compared with the control group, the operation time of the observation group was not significantly longered, and the difference had no statistical significance （ P 〉 0.05 ）. The blood loss, hospitalization time and costs of the observation group were all significantly lower than that of the control group. The difference was statistically significant（P 〈 0.01 ）. Conclusion The laparoscopic multiple organ surgery is safe, reliable, economical and reasonable, which can promote the rehabilitation of patients with high clinical value and prospects, and is worthy of further promotion.