胆囊切除术相关并发症分析及探讨

Analysis and discussion of complications related to cholecystectomy

目的分析胆囊切除术相关并发症的原因及预防措施。方法回顾性收集本院自2015.01~2018.10胆囊切除术患者的临床资料,对患者不同手术方式手术量、住院时间、住院费用、术后并发症发生率等指标进行统计学分析。结果腹腔镜胆囊切除术手术例数逐年上升,同时开腹手术呈减少趋势。开放手术与腹腔镜手术在住院时间(8.2天vs5.3天,P<0.05)、住院费用(6310.8vs5320.7,P<0.05)、术后Clavine>3级并发症发生率(0.65%vs0.33%,P<0.05)等方面比较差异有统计学意义。结论腹腔镜胆囊切除术具有创伤小、恢复快的特点,在住院时间、费用及术后并发症方面更有优势。术前慎重选择、术中精细操作和及时中转开腹能有效减少术后并发症。

Objective The purpose of the study was to analyze the causes and preventive measures of the complications related to the cholecystectomy.Methods The clinical data of patients undergoing Cholecystectomy from 2015.01 to October 2018.were collected retrospectively.the indexes such as the amount of operation,hospitalization time,hospitalization cost and postoperative complications were statistically analyzed.Results The number of cases of laparoscopic Cholecystectomy increased year by year,and the number of laparoscopic Cholecystectomy showed a decreasing trend.In the open group and laparoscopy group,the hospitalization time (6310.8 VS 5320.7,P < 0.05),the postoperative complications of Clavine > 3 (0.65% vs 0.33%),the hospitalization expenses (6310.8 vs 5320.7,P < 0.005),and the postoperative complications of grade 3 (0.65% vs 0.33%) were found in the open group and laparoscopy group.There was significant difference in P < 0.05).Conclusion The laparoscopic cholecystectomy has the characteristics of small wound and fast recovery,and has the advantages of time,expense and postoperative complications.Timely transfer of open to open can reduce postoperative complications and get better clinical benefit.