用开腹左半肝切除术和腹腔镜左半肝切除术治疗左半肝内胆管结石的效果对比

Comparison of the effects of laparotomy and laparoscopic left hemihepatectomy in the treatment of intrahepatic bile duct stones

目的:比较使用开腹左半肝切除术和腹腔镜左半肝切除术治疗左半肝内胆管结石的临床效果.方法:将2015年3月至2018年3月在华蓥市人民医院进行治疗的74例左半肝内胆管结石患者作为研究对象,并将其随机平均分为甲组(n=37)和乙组(n=37).为甲组患者使用开腹左半肝切除术进行治疗.为乙组患者使用腹腔镜左半肝切除术进行治疗.然后,比较两组患者的各项手术指标及其术后并发症的发生情况.结果:治疗后,两组患者术后并发症的总发生率相比,P>0.05.与甲组患者相比,乙组患者术中的出血量较少,其手术切口的长度、术毕至肛门排气的时间、术毕至下床活动的时间及住院的时间均较短,P<0.05.结论:与使用开腹左半肝切除术对左半肝内胆管结石患者进行治疗相比,使用腹腔镜左半肝切除术对其进行治疗的效果较好,可缩短其术后身体康复的时间.

objective: to compare the clinical effects of open left hemihepatectomy and laparoscopic left hemihepatectomy in the treatment of left intrahepatic bile duct stones. Methods: 74 cases of patients with intrahepatic bile duct stones in the left liver treated in huaying people’s hospital from March 2015 to March 2018 were studied, and they were randomly divided into group a(n=37) and group b(n=37). Patients in group a were treated with open left hemihepatectomy. Patients in group b were treated with laparoscopic left hemihepatectomy. Then, the surgical indicators and postoperative complications of the two groups were compared. Results:after treatment, the total incidence of postoperative complications in the two groups was P > 0.05. Compared with group a, group b had less intraoperative blood loss,and shorter incision length, postoperative time to anal exhaust, postoperative time to get out of bed and hospitalization time(P < 0.05). Conclusion: compared with the treatment of the patients with intrahepatic bile duct stones, the treatment of the patients with laparoscopic left hemihepatectomy has a better effect, and can shorten the postoperative physical recovery time.