标题:腹腔镜胆囊切除术1500例临床分析
作者:陈光兴,陈 媛,彭自力
(奉节县人民医院外科,重庆 404600)
卷次:
2012年23卷9期
【摘要】 目的 探讨腹腔镜胆囊切除术手术疗效。方法 收集1 500例腹腔镜胆囊切除病例,与920例常规开
腹胆囊切除患者(对照组)进行比较,分析其手术时间、出血量、术后胃肠道功能恢复、术中术后并发症、术后病理检查
等,总结腹腔镜胆囊切除术优点及意外胆囊癌发现情况。结果 (1)与对照组比较,腔镜组手术时间明显缩短,术中
出血及术中并发症发生率均显著减少,术后疼痛发生率、术后住院时间、术后排气时间、术后下床时间、术后引流时
间、引流量、并发症均显著减少且差异均具有统计学意义(P<0.05)。(2)意外胆囊癌发生率为3.33%。结论 腹腔镜
胆囊切除术具有创伤小、并发症少、恢复快等优点;意外胆囊癌应引起重视,尽早行胆囊癌根治术。
【关键词】 腹腔镜;胆囊切除术;意外胆囊癌
【中图分类号】 R657.4 【文献标识码】 A 【文章编号】 1003—6350(2012)09—068—02<
br>Clinical analysis on 1 500 cases of laparoscopic cholecystectomy.
CHEN Guang-xing, CHEN Yuan, PENG Zi-li.
Department of Surgery, People's Hospital of Fengjie County, Chongqing, 404600, CHINA
【Abstract】 Objective To explore the clinical effects of laparoscopic cholecystectomy. Methods The clini-
cal data of 1 500 cases of laparoscopic cholecystectomy (the study group) were collected and compared with 920 cases
of regular open cholecystectomy (the control group) for clinical effects. The operation time, blood loss, gastrointesti-
nal function regeneration, intraoperative and postoperative complications, as well as incidence of UGC were analyzed
and compared between the two groups. Results Compared with the control group, significant decrease was found in
operation time, blood loss, incidences of intraoperative and postoperative complications, length of hospital stay, post-
operative drainage time and amount, and incidence of postoperative pain (P<0.05). The incidence of UGC was 3.33%.
Conclusion Laparoscopic cholecystectomy is characterized with minor trauma, less complications and better rehabilitations.
【Key words】 Laparoscope; Cholecystectomy; Incidental gallbladder carcinoma
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