肝内外胆管结石腹腔镜联合胆道微创手术治疗的探讨

Laparoscopy combined with biliary minimally invasive surgery in the treatment of intra-and extrahepatic bile duct stones

目的探讨肝内外胆管结石腹腔镜联合胆道微创手术治疗效果。方法选取本院2015年7月至2017年8月收治的72例肝内外胆管结石患者作为本次临床研究资料,采用随机的方式将患者分为对照组与观察组,为对照组患者实施单纯的腹腔镜微创治疗,为观察组患者实施腹腔镜联合胆道微创手术治疗,比较两组患者最终临床治疗效果、住院时间、手术时间、并发症发生率、出血量以及残石发生率。结果观察组临床治疗效果明显优于对照组患者临床治疗效果,其住院时间与手术时间均明显低于对照组患者,术中出血量也少于对照组患者,术后并发症发生率仅为2.8%,残石率为5.6%,而对照组患者术后并发症发生率却为11.1%,残石率为13.9%,观察组与对照组各项指标P<0.05,差异具有统计学意义。结论与单纯实施腹腔镜微创治疗方式相比,采用腹腔镜联合胆道微创手术治疗可以在二者取长补短的基础上,有效发挥出各种优势。

Objective To explore the clinical efficacy of laparoscopy combined with biliary minimally invasive surgery in the treatment of intra-and extrahepatic bile duct stones.Methods The clinical data of 72 cases of intra-and extrahepatic bile duct stones treated during July 2015 and Aug.2017 were retrospectively analyzed.The patients were randomly divided into two groups,the control group and observation group.The control group received laparoscopic surgery,while the observation group received laparoscopy combined with biliary minimally invasive surgery.The curative effect,hospital stay,operation time,intraoperative blood loss,complications and incidence of residual stones were compared.Results The observation group had much better curative effects than the control group.The hospital stay was shorter,the blood loss was less,and the incidence of residual stones was lower(all P<0.05).Conclusion Laparoscopy combined with biliary minimally invasive surgery has more advantages over simple laparoscopy in the treatment of intra-and extrahepatic bile duct stones.