腹腔镜胆囊切除术和开腹胆囊切除术后并发症发生率情况比较分析

Comparative Analysis of the Incidence of Postoperative Complications Between Laparoscopic Cholecystectomy and Open Cholecystectomy

目的分析比较腹腔镜胆囊切除术和开腹胆囊切除术后并发症发生率。方法选取该院于2012年6月—2013年12月收治的86例胆囊结石患者,将其随机分成观察组和对照组,各43例。观察组实施腹腔镜胆囊切除术,对照组实施开腹胆囊切除术。术后对两组患者的感染、阻塞性黄疸、胆汁瘘、术后出血等并发症的发生率进行比较。结果观察组并发症的发生情况感染、阻塞性黄疸、胆汁瘘、术后出血各1例显著低于对照组的感染2例、阻塞性黄疸2例、胆汁瘘1例、术后出血4例,其差异具有统计学意义(P<0.05)。两组患者胆汁瘘的发生率比较,差异无统计学意义(P>0.05)。结论实施腹腔镜胆囊切除术的患者术后并发症的发生率明显低于传统开腹胆囊切除术,其创伤小、并发症少的优势,安全有效,值得临床推广与应用。

Objective To analyze and compare the incidence of postoperative complications between laparoscopic cholecystectomy and open cholecystectomy. Methods 86 cases of patients with gallstones admitted in our hospital from June, 2012 to December,2013 were selected and randomly divided into the observation group and the control group with 43 cases in each. The observation group was treated with laparoscopic cholecystectomy, and the control group was treated with open cholecystectomy. The incidences of postoperative infections, obstructive jaundice, biliary fistula, postoperative bleeding and other complications of the two groups were compared. Results In the observation group, there was 1 case of postoperative infections, 1 case of obstructive jaundice, 1case of biliary fistula, 1 case of postoperative bleeding. In the control group, there were 2 cases of postoperative infections, 2 cases of obstructive jaundice, 1 case of biliary fistula, 4 cases of postoperative bleeding. The number of patients with postoperative complications in the observation group was less than that in the control group, the difference was statisticaly significnat（P〈0.05）. The difference in the incidence of biliary fistula between the two groups was not statisticaly significant（P〉0.05）. Conclusion The incidence of postoperative complications of patients underwent laparoscopic cholecystectomy is significantly lower than that of the traditional open cholecystectomy with the advantages of smaller trauma, fewer complications, and it is safe and effective, which is worthy of clinical application.