摘要
目的探讨腹腔镜胆囊切除联合胆道探查术治疗胆囊结石合并胆总管结石的临床疗效。方法将2013年1月至2016年12月期间我院收治的130例胆囊结石合并胆总管结石患者随机分为传统组和微创组,每组65例。微创组患者接受腹腔镜胆囊切除联合胆道探查术,传统组患者传统开腹胆囊切除+胆总管切开取石术。比较两组患者手术状况和并发症的比较以及术后相关状况的比较。结果与传统组比较,微创组患者手术时间、术后禁食时间、胃肠功能恢复时间、导尿管留置时间、住院时间显著缩短(P<0.01),术中出血量显著减少(P<0.01);两组患者的手术成功率、残石率差异无统计学意义(P>0.05),而微创组术后并发症发生率显著降低(P<0.05)。结论腹腔镜胆总管探查取石联合胆囊切除术对于胆总管结石合并胆囊结石的疗效肯定、术后并发症低、住院时间短、患者恢复快,值得临床推荐。
Objective To investigate the clinical efficacy of celioscopic cholecystectomy combined with duct exploration for treatment of cholecystolithiasis with calculus of common bile duct. Method 130 cholecystolithiasis patients with calculus of common bile duct admitted to our hospital from January 2013 to December 2016 were enrolld in this study,they were divided into two groups at random,conventional group（ 65 cases） and minimally invasive group（ 65 cases）. The patients in minimally invasive group received celioscopic cholecystectomy with duct exploration; the patients in conventional group received conventional open cholecystectomy and Choledocholithotomy. The operation conditions,complication and postoperative condition were compared. Results The duration of operation,postoperative fasting time,recovery time of gastrointestinal function,indwelling time of a urethral catheter,and length of stay were shortened significantly,compared with conventional group（ P 0. 01）,operative bleeding was shortened significantly（ P 0. 01）;the operative success rate and stone residue rate had no statistical significance（ P 0. 05） in the two groups,while the incidence of postoperative complications decreased significantly（ P 0. 05）. Conclusion laparoscopic common bile duct exploration and lithotomy combined with cholecystectomy is an optimal treatment protocols for patients with calculus of common bile duc and cholecystolithiasis,with lower incidence of complication,shorter length of stay,faster recovery time,which was worth a recommendation.
出处
《肝胆外科杂志》
2017年第5期339-341,共3页
Journal of Hepatobiliary Surgery
关键词
腹腔镜
胆囊结石
胆总管结石
胆总管探查术
laparoscopes
cholecystolithiasis
calculus of common bile duct
duct exploration
