胆囊癌腹腔镜胆囊切除术的疗效和安全性分析

Efficacy and safety of laparoscopic cholecystectomy for gallbladder carcinoma

目的评价和分析胆囊癌腹腔镜胆囊切除术的疗效和安全性。方法我院从2011年5月-2013年12月接诊的90例胆囊癌患者,根据患者的意愿分为治疗组和观察组。治疗组50例,观察组40例,治疗组的患者行腹腔镜胆囊切除术治疗,观察组的患者行传统开腹胆囊切除术治疗。将两组患者的手术时间、术后恢复相关指标、安全性、术后并发症及术后一年的复发状况的结果统计并进行对比。结果治疗组患者在术后恢复的相关指标包括切口长度、术后疼痛、排气时间、下床时间、住院天数、术后引流量及引流天数明显的低于观察组的患者,差异有统计学意义（P〈0.05）;治疗组患者的手术时间、术后并发症及术后一年的复发状况明显的低于观察组的患者,差异有统计学意义（P〈0.01）。结论腹腔镜胆囊切除手术,不仅切口安全美观,减轻了患者的痛苦,而且有效地降低了手术时间、术后恢复期、术后并发症以及术后一年的并发状况,值得临床上加以推广和应用。

Objective To evaluate and analyze the efficacy and safety of laparoscopic cholecystectomy for gallbladder carcinoma. Methods 90 cases of patients with gallbladder cancer were selected in our hospital from May 2011 to December 2013, according to the wishes of patients,they were divided into the treatment group and observation group.There were 50 cases in the treatment group and 40 cases in the observation group.Patients in treatment group were treated with cholecystectomy,the observation group was treated with conventional open cholecystectomy.The operation time and postoperative recovery of the two groups were compared with the results of one year after operation. Results The postoperative recovery index included incision length,postoperative pain,exhaust time, bed time,hospital stay,postoperative drainage and drainage days of patients in the treatment group was significantly lower than the observation group.The difference had statistical significance（P〈0.05）;treatment group patients with operation time,postoperative complications and postoperative one year recurrence significantly below was observed in the group of patients,the difference has statistical significance（P〈0.01）. Conclusion Laparoscopic cholecystectomy,not only cut is safe and beautiful,which significantly reduce the suffering of patients,and effectively reduce the operation time,recovery period,postoperative complications and postoperative one year concurrent situation,it is worthy of clinical promotion and application.