一期腹腔镜胆囊切除术加阑尾切除术的临床疗效分析

目的：回顾分析一期腹腔镜胆囊切除联合阑尾切除术的临床效果。方法：将2006年1月至2013年1月同期于腹腔镜下行胆囊切除加阑尾切除的50例患者作为观察组,45例单纯腹腔镜胆囊切除术（laparoscopic cholecystectomy,LC）患者作为对照组,对比两组患者术后恢复及并发症情况。结果：两组手术均顺利完成。观察组手术时间稍长于对照组,但两组患者术中出血量、术后肠功能恢复时间、下床活动时间、住院时间及并发症发生率差异均无统计学意义（P〉0.05）。结论：严格遵循外科原则,合理应用手术技巧,腹腔镜一期胆囊切除联合阑尾切除术安全、有效,社会经济效益显著。

Clinical efficacy analysis of iaparoscopic cholecystectomy and appendectomy

Objective：To retrospectively analyze the clinical effect of laparoscopic cholecystectomy and appendectomy （LCA）. Methods：Surgery rehabilitation and complications were compared between the two groups which included 50 cases of LCA patients （observation group） and 45 cases of laparoscopic cholecystectomy patients （control group） from Jan. 2006 to Jan. 2013. Results：All operations in the 2 groups were successfully completed. The operative time of observation group was longer than that of the control group. There were no significant differences between the 2 groups in intraoperative blood loss, postoperative intestinal function recovery time, ambulation time, hospital stay and complication rate （ P 〉 0.05 ）. Conclusions ： Following strictly surgical principles and rational application of surgical techniques, LCA is a safe and effective surgical method which has significantly social and economic benefits.