腹腔镜手术与开放手术治疗肝胆疾病的效果观察

Effect on Laparoscopic surgery and open surgery for the treatment of liver disease

目的观察腹腔镜手术与开放手术治疗肝胆疾病的临床效果。方法对我院2015年2月~2016年9月普外科收治的86例肝胆疾病患者按入院顺序分为两组,对照组43例患者实施开放手术治疗,观察组43例患者行腹腔镜手术治疗,观察比较两组患者的手术相关指标及并发症发生情况。结果两组患者的手术指标比较,观察组术中出血量、手术时间、住院时间均明显低于对照组,差异具有统计学意义(P<0.05);两组患者术后胃肠功能恢复时间、首次进食时间、肛门排气时间、排便时间比较,观察组均低于对照组,差异均有统计学意义(P<0.05);两组术后并发症发生率比较,观察组的并发症发生率为4.65%(2/43)明显低于对照组的20.93%(9/43),差异具有统计学意义(P<0.05)。结论腹腔镜手术治疗肝胆疾病的效果显著优于传统开放手术,能显著改善手术各项指标,值得临床推广。

Objective To observe the clinical effect on laparoscopic surgery and open surgery for the treatment of liver diseases. Methods 86 patients with liver disease from February 2015 to September 2015in our department,which order divided into two groups.The control group(43 patients)was by open surgery,and the observation group(43 cases)was by laparoscopic surgery.The surgical complications and related indicators of two groups were compared. Results The intraoperative blood loss,operative time,length of hospital stay of the observation group were significantly lower than the control group(P<0.05).The postoperative gastrointestinal function recovery time,for the first time the meal time,anus exhaust time,defecation time of the observation group were lower than the control group(P<0.05).The incidence of postoperative complications of observation group was 4.65%(2/43),significantly lower than the control group(9/43),20.93%(P<0.05). Conclusion The laparoscopic surgery for the treatment of liver disease is significantly superior to the traditional open surgery,can significantly improve operation indicators.