腹腔镜与开腹胆囊切除术临床疗效对比观察

目的:分析比较腹腔镜胆囊切除术(LC)与开腹胆囊切术(OC)的临床效果、术后恢复情况.方法:回顾性分析2009年9月至2011年3月在我科行胆囊切除术的患者216例,按照手术方式分为LC组118例,OC组98例,比较两组患者术中情况、术后恢复、术后并发症以及住院时间费用等,探讨两种治疗方式的临床效果.结果:经比较,LC组术中及术后并发症明显少于OC组患者,具有统计学意义;LC组患者切口长度明显短于OC组患者(P<0.05),具有统计学意义;LC组术后住院时间及术后进食时间明显短于OC组(P<0.05),具有统计学意义;结论:LC能够取得OC类似的临床疗效,并且创伤小,术后并发症少,恢复快住院时间短,其医疗费用稍低,值得临床推广应用.

Comparative Study of Clinical Effectt between Laparoscopic Cholecystectomy and Open Cholecystectomy

Objective: Clinical effect comparison was made between laparoscopic cholecystectomy and open cholecystectomy,security and recovery after surgery.Method: In our trial,216 patients were made retrospectively study.118 patients were selected underwent laparoscopic cholecystectomy(LC team) and 98 patients were selected underwent open cholecystectomy(OC team).Comparison was made in hospitalization days and cost,incidences of intra-operative and postoperative complications,recovery after surgery.Result: LC group had less incidences of intra-operative and postoperative complications than OC group(P<0.05);LC group also show less recovery of gastroentestinal function time and hospitalization days than OC group(P<0.05);While LC team operative incision length was shorter than OC team(P<0.05),and all these differences has statistical significance.Conclusion: Compared to open cholecystectomy,laparoscopic cholecystectomy results in same operation benefit,minimal trauma,less incidences of intra-operative and postoperative complications,shorter hospitalization days and less cost,so it should be widely used.