小切口胆囊切除与腹腔镜胆囊切除的临床效果比较

Analysis of minilap cholecystectomy and laparoscopic cholecystectomy

目的 探讨小斜切口胆囊切除术与腹腔镜胆囊切除术的利弊。方法 对 53 4例小斜切口胆囊切除术 (MC)和 2 2 5例腹腔镜胆囊切除术 (LC)作对照分析。结果 小斜切口胆囊切除术和腹腔镜胆囊切除术皆有创伤小、恢复早的特点 ,但是小斜切口胆囊切除术则有直视近距、并发症少、手术费用低 ,无需昂贵的手术器械等优点。结论 微创手术是 2 1世纪外科发展的方向之一 ,小斜切口胆囊切除术可在基层医院广泛推广 ,腹腔镜胆囊切除术随着器械的不断改善 ,操作的进一步娴熟 ,应用前景将十分广阔。

Objective To analyse the adva nt ages and disadvantages of minilap cholecystectomy and laparospic cholecystectomy .Methods We compared and analysed minilap cholecystectomy in 53 4 cases and laparoscopic cholecytectomy in 225 cases.Results Bo th minilap cholecystectomy and laparoscopic cholecystectomy had the features of less injury and early recovery,but minilap cholecystectomy also had the advantag es of flexibility of manipulating,fewer complications,lower expense,and generali zing easily.Conclusion Less injury operation will act a very im portant role in surgery of 21 centure.Minilap cholecystectomy can popularize eas ily in some primary hospitals.However innovation of equipment and skillful opera tion,laparoscpic cholecystectomy will possess bright tomorrow.