摘要
目的 探讨腹腔粘连对腹腔镜胆囊切除术的影响。 方法 回顾性对照研究既往有腹部手术史的病人进行腹腔镜胆囊切除临床资料。研究组 35例 ,既往有 (1～ 2 )次腹部手术史 ;对照组 35例与研究组在性别 ,年龄 ,胆囊疾病史及手术适应证方面差异无显著性。 结果 研究组手术时间为 (10 2± 4 2 )分钟 ,中转开腹率 2 8% (1 35 ) ,手术并发症发生率 (0 % ) ,术后住院时间 (2 2± 0 4 )天 ;对照组分别为 (96± 36 )分钟 ,0 % ,0 %和 (2± 0 )天 ,(t=0 6 4 2 ,P >0 0 5 ;χ2 =1 0 14 ,P >0 0 5 ;t=2 95 8,P =0 0 0 4 )。但是 ,有上腹部手术史的病人手术时间 (12 0± 5 4 )分钟较对照组明显延长 (t=2 12 3,P <0 0 5 )。 结论 腹腔粘连对腹腔镜胆囊切除术的手术时间、并发症发生率、中转开腹率无影响 ,但既往有上腹部手术史的病人其腹腔镜胆囊切除术时间明显延长。
Objective To investigate the influence of abdominal cavity adhesion on laparoscopic cholycystecomy(LC). Methods A retrospective case-control study was carried out for LC patients who had previous abdominal surgical history. 35 patients in group experiment underwent one or two abdominal procedures previously. Group control was matched with group experiment in age, sex, LC indications and case history of gallbladder diseases. Results There were no significant differences between the two groups in operative time((102±42)min vs. (96±36)min, t =0 642, P >0 05), conversion rate(2 8% vs. 0%, χ 2=1 014, P >0 05) and incidence rate of postoperative complications (0 vs.0). Postoperative hospital stay in group experiment was longer than that in group control ((2 2±0 4)d vs. (2±0)d, t =2 958, P <0 01). But the previous upper abdominal surgery made operative time of LC(120±54 min) significantly longer than that of group control ( t =2 123, P <0 05). Conclusions Abdominal cavity adhesion has no influence on LC in operative time, incidence rate of complications and conversion rate, but previous upper abdominal operation can prolong operative time of LC.
出处
《中国微创外科杂志》
CSCD
2003年第1期34-35,共2页
Chinese Journal of Minimally Invasive Surgery
