腹腔镜联合新型硬质胆道镜摘除胆息肉29例

Effect of A New Type of Rigid Choledochoscope Combined with Laparoscope to Operate Gallbladder Preserved Polypectomy

目的观察保胆息肉摘除术联合应用腹腔镜与新型硬质胆道镜的临床疗效及对并发症的影响。方法选取58例胆囊息肉病变患者,按照随机数字法分为观察组和对照组,各29例,观察组给予联合应用腹腔镜与新型硬质胆道镜保胆息肉摘除术,对照组给予腹腔镜下胆囊切除术,比较两组患者的临床指标、并发症发生情况。结果两组患者手术时间及住院时间比较差异无统计学意义(P>0.05),但观察组患者的术中出血量(9.8±1.9)ml低于对照组(17.4±2.5)ml,排气时间(15.6±2.2)h短于对照组(23.3±3.0)h;并发症发生率3.4%低于对照组24.1%,差异均有统计学意义(P<0.05)。结论腹腔镜联合新型硬质胆道镜摘除胆息肉术不仅可改善临床指标,还可有效降低并发症发生率。

Objective To investigate the clinical efficacy of the combined use of laparoscopy and a new type of rigid choledochoscope in the treatment of gallbladder polyps and its complication on patients’ adverse reactions. Methods Fifty-eight patients with gallbladder polyposis were divided into observation group（ n = 29） and control group（ n = 29） according to random number method. The observation group was given gallbladder polyps removal combined with laparoscopy and a new rigid choledochoscope. The control group was given laparoscopic cholecystectomy. The clinical curative effect,clinical indexes and adverse reactions of the two groups were compared statistically. Results There was no significant difference in operative time and hospitalization time between the two groups,but the intraoperative blood loss（ 9. 8 ± 1. 9） in the observation group was significantly lower than that in the control group（ 17. 4 ±2. 5）. In the observation group,the duration of deflation（ 15. 6 ± 2. 2） was significantly shorter than in the control group（ 23. 3 ± 3. 0）. The incidence of adverse reactions in the observation group was significantly lower than that in the control group by 3. 4%（ 24. 1%）. Conclusion Laparoscope combined with a new type of rigid choledochoscope gallbladder polyp removal surgery in the treatment of patients with polypoid lesions of the gallbladder has high value,and it not only improve the clinical indicators,but also effectively avoid the risk of adverse reactions.