困难性胆囊切除患者予以腹腔镜胆囊次全切除术的临床研究

Clinical Study on Laparoscopic Subtotal Cholecystectomy in Patients With Difficult Cholecystectomy

目的研究困难性胆囊切除患者予以腹腔镜胆囊次全切除术的临床效果。方法研究组实施腹腔镜胆囊次全切除术。对照组实施腹腔镜胆囊全切术。观察两组手术基本情况、并发症情况及中转开腹情况。结果两组手术时间差异无统计学意义(P>0.05),研究组术中出血量及住院时间优于对照组(P<0.05)。两组切口感染率差异无统计学意义(P>0.05),研究组胆道损伤、胆瘘、大出血发生率低于对照组(P<0.05),研究组中转开腹率低于对照组(P<0.05)。结论困难性胆囊切除患者予以腹腔镜胆囊次全切除术能够在保障手术效果的前提下降低手术创伤,减少并发症。

Objective To study the clinical effect of laparoscopic subtotal cholecystectomy in patients with difficult cholecystectomy. Methods The study group was carried out laparoscopic subtotal cholecystectomy. Control group was in the implementation of laparoscopic total laparoscopic cholecystectomy. To observe the operation of the two groups,the basic situation,complications and conversion to open surgery. ResultsThere was no significant difference in operation time between the two groups（P〉0.05）. The amount of blood loss and the length of stay in the study group were significantly better than those in the control group（P〈0.05）. There was no significant difference in infection rate between the two groups（P〉0.05）. The incidence of bile duct injury,biliary fistula and bleeding in the study group was significantly lower than that in the control group（P〈0.05）. The rate of conversion to laparotomy was significantly lower in the study group than in the control group（P〈0.05）. Conclusion Laparoscopic subtotal cholecystectomy can reduce the surgical trauma and reduce the complications in patients with difficult cholecystectomy.