摘要
目的比较腹腔镜胆囊切除+胆总管切开探查取石术和传统开腹胆囊切除+胆总管切开探查取石术的临床效果和医疗费用。方法55例胆总管结石患者分两组,A组25例行腹腔镜胆囊切除+胆总管切开取石术;B组30例行传统开腹胆囊切除+胆总管切开取石术。统计手术时间,术后开始下床活动时间,术后胃肠功能恢复时间,术后住院时间,术后并发症和总住院费用。结果两组患者都顺利完成手术,术后两组各有1例患者胆道造影残留结石,两组手术时间无显著差异,A组患者术后下床活动时间、胃肠功能恢复时间较B组患者早,术后A组住院时间较B组短,住院费用A组较B组增多。结论腹腔镜胆总管切开取石术完全能达到传统开腹胆道切开取石术的效果,并具有创伤小,痛苦少,恢复快的优点,是治疗胆总管结石的理想手术方式之一。
Objective To compare the effectiveness and costs of laparoscopic exploration of common bile duct stones ＋ stone surgery and open cholecystectomy ＋ lithotomy. Methods Fifty-five patients with common bile duct stones were divided into two groups ： group A consisted of 25 patients undergoing laparoscopic surgery ; and group B composed of 30 patients undergoing open cholecystectomy ＋ surgery for common bile duct stone. Data included operation, operative time, postoperative recovery of gastrointestinal function, hospital stay after operation, postoperative complications and the total cost for hospitalization. Results The two groups completed the operation . Two hours after the operation , hospital stay was not significantly different. In group A patients out of bed activities, gastrointestinal function recovery time was more rapid than group B patients; each of the two groups after cholangiopancreatography showed residual stones, and hospital fees were increased in groups A and B. Conclusions Laparoscopic operation for removal of common bile duct stones is feasible. The effects of the operation is satisfactory with small incision, less pain and rapid recovery.
出处
《中华普外科手术学杂志（电子版）》
2009年第4期32-33,共2页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
