腹腔镜胆囊切除术与小切口胆囊切除术治疗胆结石疗效比较

Curative effect comparison of laparoscopic cholecystectomy and small incision cholecystectomy in the treatment of gallstone

目的:比较腹腔镜胆囊切除术(LC)与小切口胆囊切除术治疗胆结石的临床疗效。方法:收治胆结石患者114例,随机分为小切口组和腹腔镜组,各57例,小切口组采用小切口胆囊切除术治疗,腹腔镜组采用腹腔镜胆囊切除术治疗,比较两组治疗效果和并发症。结果:腹腔镜组术中出血量、手术时间、下床活动时间以及住院时间与小切口组比较,差异有统计学意义(P<0.05);腹腔镜组并发症发生率3.5%明显低于对照组的17.5%(P<0.05)。结论:腹腔镜胆囊切除术治疗胆结石疗效确切,术后并发症发生率低,具有手术时间短、术中出血量少、康复迅速等特点。

Objective:To explore the curative effect of laparoscopic cholecystectomy and small incision cholecystectomy in the treatment of gallstone.Methods:114 patients with gallstone were selected.They were randomly divided into the small incision group and the laparoscopy group with 57 cases in each group.The small incision group was treated by small incision cholecystectomy,and the laparoscopy group was treated by laparoscopic cholecystectomy,then we compared the treatment effect and complications of the two groups.Results:The laparoscopy group was compared with small incision group in amount of bleeding during operation,operation time,ambulation time and hospitalization time,and the difference was statistically significant(P<0.05). The rate of complications in laparoscopy group of 3.5% was significantly lower than 17.5% in the control group(P<0.05). Conclusion:Therapeutic effect of laparoscopic cholecystectomy for gallstones was exact.The incidence of postoperative complications was low.It had many advantages such as short operation time,less bleeding,rapid recovery and so on.