摘要
目的 比较完全腹腔镜肝总管-空肠吻合术与开腹手术的临床疗效.方法 回顾性分析37例接受腹腔镜肝总管空肠Roux-en-Y吻合术及同期42例接受传统开放肝总管空肠Roux-en-Y吻合术.比较2组患者手术时间、术中出血量、切口长度、术后住院时间、术后胃肠功能恢复时间、切口感染率以及术后胆瘘发生率.结果 观察组患者手术时间为（275.43±12.28） min,高于对照组的（189.12±19.35） min（P =0.031）;观察组患者术中出血量为（83.13±6.34） ml,切口长度（5.76±0.7）cm,术后胃肠道恢复时间为（43.33±3.15）h,术后住院时间为（12.65±2.19）d,均低于对照组的（180.37±9.67） ml,（18.51±1.9）cm,（70.45±4.97）h,（22.16±4.61） d（P ＜0.05）.观察组中术后切口感染发生率为5.4％,低于对照组（19.07％）（x2=22.12,P＜0.05）.两组术后胆瘘发生率无显著性差异.结论 完全腹腔镜肝总管-空肠吻合术安全有效,创伤较小,术后并发症少,适合临床推广应用.
Objective To compare the feasibility and safety of laparoscopic Roux-en-Y choledochojejunostomy versus open Roux-en-Y choledochojejunostomy.Methods From October 2011 to June 2013,37 patients underwent laparoscopic Roux-en-Y choledochojejunostomy （observation group） and 42 underwent open Roux-en-Y choledochojejunostomy （control group）.We retrospectively compare the two groups in terms of operation time,intraoperative blood loss,length of incision,postoperative hospital stay,postoperative gastrointestinal function recovery time,incision infection rate and the incidence of biliary fistula after surgery.Results In observation group operation time was （275.43 t 12.28） min,higher than that of control group （189.12 ± 19.35） min （P =0.031）,intraoperative blood loss was （83.13 ±6.34） ml,incision length （5.76 ±0.7） cm,postoperative recovery time of gastrointestinal tract of （43.33 ±3.15） h,postoperative hospital stay （12.65 ± 2.19） d,were in favor of the observation group which were respectively （180.37 ±9.67） ml,（18.51 ±1.9） cm,（70.45 ±4.97） h and （22.16 ±4.61） d （t =33.17,36.73,33.17,P ＜ 0.05）.Postoperative incision infection rate in observation group was 5.4％,lower than the control group （19.07％） （chi-square =22.12,P ＜ 0.05）.Between the two groups there was no significant difference in the incidence of biliary fistula.Conclusions Laparoscopic Roux-en-Y hepatojejunostomy is safe,effective,and less traumatic procedure.
出处
《中华普通外科杂志》
CSCD
北大核心
2015年第3期219-222,共4页
Chinese Journal of General Surgery
