胆管结石的对比研究.PDFVIP

中国现代医生 2018年7月第56卷第21期 窑外科医学 窑 腹腔镜下左半肝切除与左外叶切除治疗左肝内 胆管结石的对比研究 卓奇峰 陈明良 忻 畅 严焕军 宁波大学医学院附属鄞州医院肝胆外科袁浙江宁波 315040 [摘要] 目的 比较腹腔镜下左半肝切除与左肝外叶切除治疗左肝内胆管结石的效果遥 方法 回顾性分析鄞州医 院2011年6月耀2016年 1月收治的腹腔镜手术治疗左侧肝内胆管结石患者45例袁其中腹腔镜左外叶切除24例袁 腹腔镜左半肝切除21例袁比较两组的手术时间尧术中出血尧并发症尧住院时间尧术后残石率和结石复发率遥 结果 两组间的术中出血量渊P=0.861冤尧手术时间渊P=0.097冤尧并发症渊P=0.792冤尧住院时间渊P=0.672冤尧及术后结石残留率 渊P=0.677冤均无统计学差异袁腹腔镜左半肝切除组的结石复发率低于腹腔镜左肝外侧叶切除组袁但亦无统计学差 异渊0vs 8.33%袁P=0.738冤遥 结论腹腔镜左半肝切除治疗左侧肝内结石并未增加手术风险袁是安全有效可行的遥 [关键词]肝内胆管结石曰胆结石曰肝切除术曰腹腔镜 [中图分类号] R657.4 [文献标识码] B [文章编号] 1673-9701渊2018冤21-0051-04 Comparative study of laparoscopic left hepatectomy and left external lobectomyfor the treatment ofleft hepaticbile duct stones ZHUO Qifeng CHENMingliang XIN Chang YANHuanjun Departmentof Hepatobiliary Surgery,the Affiliated Ningbo Medical CollegeYinzhou Hospital,Ningbo 315040,China [Abstract] Objective To compare the effect of laparoscopic left hepatectomy and left hepatic resection for the treat鄄 ment of left hepatic bile duct stones.Methods 45 patientswith left intrahepatic bile duct stonesunderwent laparoscop鄄 ic surgery in Yinzhou Hospital from June 2011 to January 2016 were retrospectively analyzed. Among them, stones in 24 cases were removed by laparoscopic left external lobectomy, 21 cases by laparoscopic left hepatectomy, The opera鄄 tion time, intraoperative bleeding, complications, hospital stay, postoperative residual stone rate and stone recurrence were compared between the two groups. Results The intraoperative blood loss(P=0.861), operation time(P=0.097), com鄄 plications(P=0.792),hospital stay(P=0.672) had no significant difference between the two groups. The recurrence rate of stone in laparoscopic left-hysterectomy group was lower than that in laparos