开腹胆囊手术与腹腔镜胆囊手术术后肠粘连发生率的对比观察

Comparative observation of the incidence of postoperative intestinal adhesion in open cholecystectomy and laparoscopic cholecystectomy

目的对比观察开腹胆囊手术与腹腔镜胆囊手术术后肠粘连发生率。方法 52例胆囊手术患者作为研究对象,其中22例行开腹胆囊手术(开腹组),30例行腹腔镜胆囊手术(腹腔镜组),比较两组患者住院时间、手术时间及术后肠粘连发生情况。结果腹腔镜组患者平均住院时间(5.6±2.3)d,手术时间(55.9±10.4)min,发生术后肠粘连2例(6.67%),与开腹组结果比较差异有统计学意义(P<0.05)。结论腹腔镜胆囊手术对患者医源性创伤较开腹手术显著减少,手术用时及住院时间较短,术后肠粘连等并发症发生率较低,较传统开腹胆囊手术具有显著优势,具有临床应用及推广价值。

Objective To comparatively observe the incidence of postoperative intestinal adhesion in open cholecystectomy and laparoscopic cholecystectomy. Methods A total of 52 patients, who underwent cholecystectomy, were taken as the study subjects. There were 22 cases received open cholecystectomy （open group）, and 30 cases underwent laparoscopic cholecystectomy （laparoscope group）. The hospital stays, operation times, and postoperative intestinal adhesion were compared between the two groups. Results The average hospital stays of the laparoscope group was （5.6±2.3） d, the operation time was （55.9±10.4） min, and there were 2 cases with postoperative intestinal adhesion （6.67%）. These differences, compared with the open group, had statistical significance （P〈0.05）. Conclusion Laparoscopic cholecystectomy has the advantages of less iatrogenic trauma, shorter operation time and hospital stays, and lower incidence of postoperative intestinal adhesion complications than the traditional open cholecystectomy. It has value in clinical promotion and application.