摘要
目的比较腹腔镜与开腹胆总管十二指肠吻合术治疗恶性梗阻性黄疸的临床疗效,总结腹腔镜胆总管十二指肠吻合术的方法及经验。方法 2009年6月～2010年7月对40例因肿瘤导致梗阻性黄疸患者分别行腹腔镜(n=20)或开腹(n=20)胆总管十二指肠吻合术。结果两组患者术后黄疸均迅速消退,术后减黄效果无统计学差异(P=0.082),无吻合口瘘及胆源性腹膜炎、腹腔感染等并发症。两组在手术时间、术后住院时间、住院费用上无显著性差异(P>0.05),但在术后肛门排气时间(P=0.003)、术后切口疼痛评分(P=0.000)两项指标上,有显著性差异(P<0.05)。结论腹腔镜胆总管十二指肠吻合术临床上安全可行,术后痛苦小、恢复快,微创优势突出,可避免开腹手术引起的一系列弊端。
Objective To Compare the clinical effect of laparoscopic and open choledochoduodenstomy on the treatment of malignant obstructive jaundice.Methods During the period from June 2009 to July 2010,40 patients with malignant obstruc-tive jaundice underwent laparoscopic and open choledochoduodenstomy were included,clinical data was collected and ana-lyzed.Results Jaundice of the laparoscopic and open choledochoduodenstomy groups were improved quickly after surgery,however there was no significant difference（P =0.082）.There was no a statistically significant difference the time of opera-tion,postoperative hospital stay and hospital charges（P 0.05） between the two groups,however significant differences were found on anal exhaust time（P =0.003） and postoperative pain score（P =0.000）.Conclusion Laparoscopic choledo-choduodenstomy is safe and feasible with advantages such as less postoperative pain,quick recovery and minimal invasion.
出处
《临床肝胆病杂志》
CAS
2010年第5期490-492,共3页
Journal of Clinical Hepatology
