微型腹腔镜胆囊切除术临床疗效观察

Effect of mini laparoscopic cholecystectomy

目的 通过随机对照方法比较微型腹腔镜胆囊切除术（MLC）与传统腹腔镜胆囊切除术（LC）的临床疗效.方法 将拟行LC的57例患者用随机数字表法分为传统腹腔镜胆囊切除术组（30例）和微型腹腔镜胆囊切除术组（27例）.对比其手术时间、出血量、VAS评分、术后住院天数、并发症.结果 两组患者均无中转开腹及严重并发症出现,但各有6例从三孔L增加至四孔L,且MLC组中有4例转为传统LC.MLC组和LC组手术时间平均（57.5 ±17） min和（50±15） min（P＞0.05）;术后平均住院时间为（2.5±1.4）d和（3.1 ±1.5） d（P＞0.05）;术后疼痛程度MLC组6h和12 h分别为（4.8±2.6）分和（3.5±1.1）分,LC组分别为（5.5±2.7）分和（5.0±2.1）分（P＜0.05）.结论 MLC术后疼痛较LC更轻,对适合的病例,是一种安全有效的治疗方式.

Objective To compare the clinical curative effect between mini laparoscopic cholecystectomy （MLC） and conventional laparoscopic cholecystectomy （LC）.Methods Using random number table method to divide the patients into conventional laparoscopic cholecystectomy group （30 cases） and mini laparoscopic cholecystectomy group （27 cases）.Compared the operation time,bleeding volume,VAS score,postoperative hospital stay,complications.Results No conversion to laparotomy and serious complications,but each group has 6 cases from the three holes increase to four holes,and 4 cases of MLC group were converted to traditional LC.MLC group and LC group,average operation time （57.5 ±17） min and （50 ± 15） min （P 〉 0.05）;the average postoperative hospital stay was （2.5 ± 1.4） d and （3.1 ±1.5） d （P 〉 0.05）;postoperative pain degree of MLC group of 6 h and 12 hrespectively （4.8±2.6） and （3.5±1.1）,LC group were （5.5 ±2.7） and （5.0±2.1） points （P〈 0.05）.Conclusion Postoperative pain of MLC is lighter than LC,in appropriate cases,is a safe and effective treatment method.