小切口胆囊切除术在基层医院的可行性研究

Feasibility research of small incision cholecystectomy in the primary hospital

目的:探讨基层医院开展小切口胆囊切除术的可行性研究。方法:2008年1月-2012年1月收治小切口胆囊切除术患者43例与常规胆囊切除术患者38例,对两组进行比较。结果:小切口胆囊切除成功41例(95.35%),术中延长手术切口2例(4.65%);小切口组切口一期愈合42例(97.67%),平均住院(5.5±0.6)d,常规胆囊切除组切口一期愈合32例(84.21%),平均住院(10.2±0.4)d。结论:小切口胆囊切除术切口一期愈合率、平均住院天数等均显著优于常规胆囊切除术,值得在基层医院推广。

Objective:To explore the feasibility research of launching small incision cholecystectomy in the primary hospital.Methods:43 cases with small incision cholecystectomy and 38 cases with routine cholecystectomy were selected from January2008 to January 2012.The patients in two groups were compared.Results:Small incision cholecystectomy was successful in 41cases(95.35%);the operative incision was extension during operation in 2 cases(4.65%).42 cases(97.67%) of incision were primary healing in the small incision group;the average hospitalization was(5.5±0.6) days.32 cases(84.21%) of incision were primary healing in the routine cholecystectomy group;the average hospitalization was(10.2±0.4) days.Conclusion:The primary healing rate of incision and average hospitalization days of small incision cholecystectomy are significantly better than those of the routine cholecystectomy.It is worth to be popularized in primary hospital.