腹腔镜胆总管探查术治疗胆总管结石的效果研究

Effect of laparoscopic common bile duct exploration oncholedocholithiasis

目的分析腹腔镜胆总管探查术(LCBDE)治疗胆总管结石的效果。方法选取2018年1月—2023年4月收治的200例胆总管结石患者作为研究对象,根据不同的手术方式分为观察组(LCBDE术)和对照组(开腹手术),每组各100例;比较两组术中情况、术后恢复指标和并发症情况。结果与对照组相比,观察组手术时间和出血量显著减少(P<0.01),且在胆汁引流量、肛门排气恢复时间和住院时间方面均优于对照组(P<0.01)。此外,观察组并发症发生率明显低于对照组(P<0.05)。结论LCBDE是一种创伤小、恢复快、并发症少的手术方法,在治疗胆总管结石方面具有广泛应用前景。

Objective To analyze the effect of laparoscopic common bile duct exploration(LCBDE)on common bile duct stones.Methods A total of 200 patients with choledocholithiasis treated from January 2018 to April 2023 were selected as study subjects.According to different surgical methods,they were divided into observation group(LCBDE)and control group(open surgery),with 100 cases in each group.The intraoperative conditions,postoperative recovery indicators,and complications of the two groups were compared.Results Compared with the control group,the observation group showed a significant reduction in surgical time and bleeding volume(P<0.01),and performed better in indicators such as bile drainage volume,anal exhaust recovery time,and hospital stay(all P<0.01).In addition,the overall incidence of complications in the observation group was significantly reduced(P<0.05).Conclusion LCBDE is a surgical method with less trauma,fast recovery,and few complications,and has a wide application prospect in the treatment of choledocholithiasis.