全腹腔镜下肝叶切除术治疗肝内胆管结石疗效剖析.docVIP

全腹腔镜下肝叶切除术治疗肝内胆管结石疗效剖析 　　摘 要：目的 探讨全腹腔镜下肝叶切除术治疗肝内胆管结石临床疗效及安全性。方法 回顾性分析我院2015年6月～2016年6月收治的肝?鹊ü芙崾?患者48例，依据其手术方式分为腹腔镜组与对照组，各24例。腹腔镜组给予全腹腔镜下肝叶切除术，对照组给予传统开腹手术切除肝叶，记录两组患者一般资料，比较两组患者手术时间、术中出血量、术后疼痛程度、术后排气时间、腹腔引流量、住院时间以及结石清除率和复发率。结果 腹腔镜组术中出血量、术后排气时间以及住院时间低于对照组（P0.05）。结论 全腹腔下肝叶切除术治疗肝内胆管结石具有良好的疗效及安全性，可降低机体损伤，改善疼痛感受，缩短住院周期，提高生存质量。 　　关键词：腹腔镜手术；肝叶切除术；肝内胆管结石；传统开腹手术 　　中图分类号：R657.4 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.06.028 　　文章编号：1006-1959（2018）06-0090-03 　　Therapeutic Effect of Total Laparoscopic Hepatectomy on Intrahepatic Bile Duct Stones 　　REN Hai-bin 　　（Department of Hepatobiliary Surgery，Peoples Hospital of Laizhou City，Laizhou 261400，Shandong，China） 　　Abstract：Objective To investigate the clinical efficacy and safety of total laparoscopic hepatectomy in the treatment of intrahepatic cholelithiasis.Methods 48 patients with intrahepatic cholelithiasis treated in our hospital from June 2015 to June 2016 were retrospectively analyzed.On the basis of the operation mode is divided into laparoscopic group and control group with 24 cases in each group were given laparoscopic；laparoscopic liver resection，the control group was treated with traditional laparotomy hepatectomy， record the general data of the two groups of patients，compared two groups of patients with operation time，intraoperative bleeding volume， postoperative pain，postoperative exhaust time，peritoneal drainage，hospitalization time，stone clearance rate and recurrence rate.Results The intraoperative bleeding volume， postoperative exhaust time and hospitalization time in the laparoscopic group were lower than those in the control group（P0.05）.Conclusion Total subhepatic lobectomy has good efficacy and safety in the treatment of intrahepatic bile duct stones，which can reduce body damage，improve pain feeling，shorten the hospitalization cycle and improve the quality of life. 　　Key words：Laparoscopic surgery；Hepatectomy；Intrahepatic cholelithiasis；Traditional open surgery 　　肝内胆管结石（intrahepatic bile duct stone