腹腔镜胆道探查术治疗胆道结石的体会

The Experience of Treatment of bile duct calculi by Laparoscopic bile duct exploration

目的探讨腹腔镜胆道探查术(LCBDE)的应用及其相对于开腹胆道探查术(CBDE)的优越性。方法回顾分析我院2011年7月-2013年12月手术治疗的胆道结石患者共73例分为CBDE组39例和LCBDE组34例,比较两组患者在手术时间、术中出血、胃肠功能恢复时间、住院时间、镇痛药物使用率、残留结石率、并发症发生率等方面的差异。结果两组在手术时间、残留结石率、并发症发生率等方面的差异不具有统计学意义(P>0.05),LCBDE组在术中出血、胃肠功能恢复时间、住院时间、镇痛药物使用率等方面明显优于CBDE组,两组比较差异有统计学意义(P<0.05)。结论 LCBDE是一种安全、可行、微创、康复快的手术方式,适宜临床推广。

Objective To investigate the application of Laparoscopic common bile duct exploration （LCBDE） and its superi- ority of comparing to common bile duct exploration （CBDE）. Method 73 cases of bile duct calculi were analyzed retrospective and they were randomly divided into the CBDE group （39 cases） and LCBDE group（ 34 cases）,the two groups were compared the difference of the operative time, the bleeding, the recovery time of gastrointestinal function, hospitalized time, the ratio of using analgesic drugs, the ratio of residual calculi, the ratio of complications. Result The differences between the two groups was not statistically significant in the operative time, the ratio of residual calculi and the ratio of complications （ P 〉 0. 05 ）. LCBDE group was more excellent than CBDE group in the bleeding, the recovery time of gastrointestinal function, hospitalized time and the ratio of using analgesic drugs （P 〈 0.05）. Conclusion LCBDE is safe, feasible, minimally invasive, rapid recovery which suitable for clinical practice.