腹腔镜肝部分切除术治疗肝胆管结石的临床研究.docVIP

腹腔镜肝部分切除术治疗肝胆管结石的临床研究 　　[摘要] 目的 探讨临床对肝胆管结石患者实施肝部分切除术治疗的可行性。 方法 将2012年5月～2014年5月期间我院48例肝胆管结石患者纳入研究，遵循随机数表法将患者均分成两组，其中对照组采取常规肝部分切除术施治，观察组采取腹腔镜肝部分切除术施治，比较两组的临床总治愈率、手术时长、术中出血量、胃肠功能恢复时间、下床活动时间、胆瘘发生率、并发症发生率等。 结果 观察组的总治愈率为91.7%，对照组的总治愈率为83.3%，两组比较差异无统计学意义（P0.05）；两组的手术时长、术中出血量、胃肠功能恢复时间、下床活动时间、并发症发生率比较，差异有统计学意义（P0.05）。 结论 给予肝胆管结石患者实施腹腔镜肝部分切除术疗效显著，安全性高，相比常规肝部分切除术更具临床普及价值。 　　[关键词] 肝胆管结石；肝部分切除术；可行性 　　[中图分类号] R657.3 [文献标识码] A [文章编号] 1674-4721（2016）01（b）-0024-03 　　Clinical study of laparoscopic hepatectomy on treating hepatic calculus 　　ZHANG Zhi-cheng 　　Department of General Surgery，the Second Hospital Affiliated to Shenyang Medical College，Shenyang 110025，China 　　[Abstract] Objective To explore the feasibility of laparoscopic hepatectomy in patients with hepatic calculus in clinic. Methods Forty-eight patients with hepatic calculus from May 2012 to May 2014 in our hospital were recruited into the research，and were divided into two groups by a random number table.In control group，conventional partial hepatectomy was used，while in the observation group，laparoscopic hepatectomy was applied.The clinical cure rate，operation time，intraoperative amount of bleeding，recovery time of gastrointestinal function after surgery，time of being off bed，incidence of biliary fistula，and incidence of complications were studied and compared. Results The clinical cure rate in the observation group was 91.7%，and that was 83.3% in the control group，there was no statistically significant difference between two groups （P0.05）.The comparison of operation time，intraoperative amount of bleeding，recovery time of gastrointestinal function after surgery，time of being off bed，incidence of complications in the observation group had differences between two groups （P0.05）. Conclusion For patients with hepatic calculus，application of laparoscopic hepatectomy can obtain a more remarkable effect and better safety，and presents with a clinical value for universal application in comparison with that by conven