腹腔镜胆囊、肝左叶切除联合胆管镜治疗肝胆管结石的效果分析.docVIP

腹腔镜胆囊、肝左叶切除联合胆管镜治疗肝胆管结石的效果分析 　　[摘要] 目的 探讨腹腔镜胆囊、肝左叶切除联合胆管镜治疗肝胆管结石的临床效果。 方法 选择2013年1月～2014年1月在我院就诊的80例肝胆管结石患者，按照随机数字表法将其分为观察组与对照组，各40例。观察组进行腹腔镜手术，对照组实施开放手术，比较两组的手术情况，如手术时间、术中出血量、术后残石率以及住院时间，并观察治疗期间并发症的情况。 结果 观察组手术时间和住院时间短于对照组（P0.05），术中出血少于对照组（P0.05），结石残留率、胆道系统并发症发生率以及术后并发症总发生率显著低于对照组（P0.05）。 结论 腹腔镜下同时完成胆囊切除、胆总管切开电子胆道镜取石、肝左叶切除，将该类传统开腹手术完全微创化，可达到创伤小、恢复快、残石率低等要求。 　　[关键词] 腹腔镜胆囊切除；腹腔镜肝左叶切除；胆管镜；肝胆管结石 　　[中图分类号] R657.4+2 [文献标识码] A [文章编号] 1674-4721（2015）08（b）-0037-03 　　Effect analysis of resections of cholecyst and left hepatic lobe under laparoscope combining with choledochoscope in the treatment of hepatolithiasis 　　DENG Gao-wang ZHU Lin-ping LUO Gang DING Jin-huo TIAN Zhen-wu 　　Department of General Surgery，People′s Hospital of Shangrao City in Jiangxi Province，Shangrao 334000，China 　　[Abstract] Objective To explore the clinical effect of resections of cholecyst and left hepatic lobe under laparoscope combining with choledochoscope in the treatment of hepatolithiasis. Methods 80 patients with hepatolithiasis admitted into our hospital from January 2013 to January 2014 were selected and evenly divided into observation group and control group by random number table method. In the observation group，laparoscopic surgery was applied，while in the control group，open operation was used.Operation time，intraoperative blood loss，postoperative residual stone rate and hospitalization time in two groups was compared.The complications during surgery were observed. Results Operation time and hospitalization time in observation group was shorter than that of control group（P0.05）.Intraoperative blood loss in observation group was less than that of control group（P0.05）.Calculi residual rate，complication rate of biliary tract system and postoperative complication rate in observation group were significantly lower than those of control group（P0.05）. Conclusion Accomplishment of gallbladder removal，common bile duct opening and calculus removed by electronic choledochoscope，and excisio