老年良性胆囊疾病腹腔镜胆囊切除与开腹胆囊切除的临床效果

Clinical observation on laparoscopic cholecystectomy and open cholecystectomy in treatment of benign gallbladder disease

目的比较在老年良性胆囊疾病患者中应用腹腔镜与开腹手术进行胆囊切除的手术效果。方法老年良性胆囊疾病患者74例，随机分为研究组与对照组，各37例，对照组采取传统开腹胆囊切除手术，研究组采取腹腔镜胆囊切除手术，观察2组手术效果和术后并发症。结果研究组平均手术时间、术中出血量、胃肠道恢复时间、下床活动时间及住院天数均低于对照组，差异有统计学意义（P〈0．01）；研究组并发症发生率为5．4％低于对照组的27．0％，差异有统计学意义（P〈0．05）。结论老年良性胆囊疾病患者采取腹腔镜胆囊切除术手术效果较好，术后恢复快，并发症低。

Objective To compare the effect between laparoscopic cholecystectomy and open cholecystectomy for elderly patients with benign gallbladder disease. Methods A total of 74 elderly patients with benign gallbladder disease were randomly divided into study group （n = 37 ） and control group （n = 37 ）, receiving laparoscopic cholecystectomy and open cholecystectomy, respectively. Results study group had shorter operation duration, resumption of gastrointestinal function, time to leave bed , length of stay and less blood loss compared with the control group （ P 〈 0.01 ）. The inci- dence of compilation was 5.4% in study group and 27.0% in control group, with a significant differ- ence （P 〈 0.05 ）. Conclusion Laparoscopic cholecystectomy shows better clinical efficacy and less complication in treatment of benign gallbladder disease.