腹腔镜与传统开腹胆囊切除术在胆囊结石治疗中应用对比研究

Comparative study of laparoscopic cholecystectomy and traditional open cholecystectomy in the treatment of patients with cholecystolithiasis

目的:比较研究腹腔镜与传统开腹胆囊切除术在胆囊结石治疗中应用效果。方法:研究对象为我院收治的80例胆囊结石患者。随机将所有患者分为两组,观察组40例行腹腔镜手术治疗,对照组40例行传统开腹胆囊切除术,比较两组手术相关指标、术后并发症发生情况。结果:与对照组胃肠功能恢复时间、手术时间、住院时间、术中出血量及术后并发症总发生率等指标比较,观察组均较低,差异具有统计学意义(P<0.05)。结论:与传统开腹胆囊切除术比较,腹腔镜胆囊切除术可减少术中出血量,改善手术相关指标,降低并发症发生率,改善患者预后。

Objective： To compare the effects of laparoscopic cholecystectomy and traditional open cholecystectomy in the treatment of patients with cholecystolithiasis. Methods： 80 cases of cholecystolithiasis treated in our hospital were selected as the subjects. All patients were randomized into two groups wih 40 cases each. Laparoscopic cholecystectomy was performed for patients in the observation group,while traditional open cholecystectomy was used for the others in the control group. The related indexes and the incidence of postoperative complications between both groups were compared. Results：Compared with the control group,such indexes as the recovery time of gastrointestinal function,length of operation,hospital stays,intraoperative blood loss and the total incidence of postoperative complications in the observation group were all lower,which were of statistical differences（P 〈0. 05）. Conclusion：Compared with the traditional cholecystectomy,laparoscopic cholecystectomy can reduce the intraoperative blood loss,improve the related indexes,decrease the incidence of complications and improve the prognosis of the patients.