腹腔镜联合硬性胆道镜保胆取石术与腹腔镜胆囊切除术的对比研究-临床医学专业论文.docxVIP

PAGE PAGE IV 腹腔镜联合硬性胆道镜保胆取石术与腹腔镜胆囊切除术的对比研究 英文摘要 A comparative study of cholecystolithotomy with gallbladder preserved combined with Laparoscope and hard choledochoscope and laparoscopic cholecystectomy Abstract Object:This study was used endoscopic minimally invasive cholecystolithotomy,and laparoscopic cholecystectomy met the study conditions,treatment of patients with gallstones,comparative analysis of two kinds of surgical patients,the postoperative complications,clinical efficacy and follow-up projects such as the existence of differences,to discuss its indication an contraindication，and to evaluate the therapeutic efficacy and the application prospect of the minimally invasive endoscopic cholecystolithotomy with gallbladder preserved.Aims to explore the characteristics of two kinds of surgical and hope for clinical treatment of gallstone choice of methods,indications grasp of some inspiration and help and so on. Methods:A retrospective evaluation of 50 patients who underwent minimally invasive endoscopic cholecystolithotomy with gallbladder preserved (group A) and 200 patients whounderwent laparoscopic cholecystectomy (group B) in The second affiliated hospital of Suzhou university from 2010.1 to 2012.1 is used to collect preoperative clinical data, operative time, postoperative complications (bile leak, hemorrhage, infection),postoperative hospital stay, and total hospital costs. The patients from group A are followed up to collect the recurrence rate of cholecystolithiasis. Results:None of two groups paitients transit to open surgery.Total hospital costs is no significant difference between the two groups (8364.82±836.58 vs 8225.65±691.86 RMB,P0.05). Operation time of group A is longer than group B(85.24±20.02 vs 60.40±15.55 min，P0.05). The hospitalized time is longer than that of the LC group 英文摘要 腹腔镜联合硬性胆道镜保胆取石术与腹腔镜胆囊切除术的对比研究 (4.35±1.30 vs 3.24±1.02d,P0.05). There is no short-term complication in two groups. The recurrence r