腹腔镜及开腹胆囊切除术治疗胆囊良性疾病的疗效比较

Comparison of efficacy between laparoscopic and open cholecystectomy for benign gallbladder disease

目的比较腹腔镜及开腹胆囊切除术治疗胆囊良性疾病的临床效果。方法分析519例因胆囊良性疾病需行胆囊切除术的患者资料,其中357例采用腹腔镜胆囊切除术(腹腔镜组),162例使用开腹胆囊切除术(开腹组)。比较两种术式的手术时间、术中出血量、肛门排气时间、住院时间、住院费用及并发症情况。结果腹腔镜组手术时间短于开腹组,术中出血量、肛门排气时间、住院时间及住院费用均少于开腹组,差异有统计学意义(P<0.05)。腹腔镜组术后并发症发生率明显低于开腹组,两组比较,差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术具有手术时间短、恢复快、术后并发症少等优点,适合在基层医院推广应用。

Objective To compare the clinical efficacy between laparoscopic and open cholecystectomy for benign gallbladder disease. Methods Clinical data of 519 patients who needed cholecystectomy due to benign gallbladder diseases were retrospectively analyzed. Laparoscopic cholecystectomy （LC group） and open cholecystectomy （OC group） were performed in 357 cases and 162 cases respectively. The operative duration, intraoperative blood loss, the time of anal exhaust, hospital stay, hospitalization cost and complications were compared between the two surgical approaches. Results Compared with the OC group, the operative duration was shorter, the intraoperative blood loss, time of anal exhaust, hospital stay and hospitalization cost were less in the LC group （P 〈 0.05）. The incident rate of postoperative complications in the LC group was significantly lower than that in the OC group （ P 〈 0.05 ）. Conclusion Laparoscopic cholecystectomy has the advantages of shorter hospital stay, faster recovery and less postoperative complica- tions. And it is suitable for promotion and application in primary hospitals.