摘要
目的:探讨腹腔镜肝段切除术治疗左肝胆管结石的临床效果,为临床提供治疗经验。方法:选取2016年1月至2018年1月收治的88例左肝胆管结石患者,随机分为两组,对照组(n=44)行传统开腹肝段切除术,观察组(n=44)行腹腔镜肝段切除术。对比分析两组患者术中情况及术后恢复、并发症、结石复发情况。结果:观察组手术时间、术中出血量、术后肛门排气时间、术后住院时间、生存质量评分优于对照组,差异有统计学意义(P<0.05);两组并发症、结石复发率差异无统计学意义(P>0.05)。结论:腹腔镜肝段切除术治疗左肝胆管结石疗效显著,可有效缩短手术时间、术后住院时间,提高患者生存质量,值得临床推广。
Objective:To explore the clinical effect of laparoscopic segmental hepatectomy in the treatment of left hepatolithiasis and provide experience for clinical treatment.Methods:Eighty-eight patients with left hepatolithiasis from Jan.2016 to Jan.2018 were randomly divided into two groups.In the control group,44 patients were given traditional open segmental hepatectomy,in the observation group,44 patients were treated with laparoscopic segmental hepatectomy.Statistical analysis was used to compare the intraoperative data,postoperative recovery,complications and recurrence of stones between the two groups.Results:Compared with the control group,the operation time,intraoperative blood loss,postoperative anal exhaust time,hospital stay and quality of life score in the observation group were significantly superior(P<0.05);there was no significant difference in complications or stone recurrence between the two groups(P>0.05).Conclusions:Laparoscopic segmental hepatectomy is effective in the treatment of left hepatolithiasis.It can not only shorten the operation time effectively,but also reduce the hospital stay after operation and improve the quality of life.It is worthy of clinical promotion.
作者
王金宝
谭庆娟
王维山
刘成彪
孙启栋
WANG Jin-bao;TAN Qing-juan;WANG Wei-shan(Department of General Surgery,Linyi Central Hospital,Linyi 276400,China)
出处
《腹腔镜外科杂志》
2019年第5期356-359,共4页
Journal of Laparoscopic Surgery
关键词
左肝胆管结石
肝段切除术
腹腔镜检查
随机对照试验
Left hepatolithiasis
Segmental hepatectomy
Laparoscopy
Randomized controlled trial
