腹腔镜手术治疗胆囊结石的疗效观察

目的探讨腹腔镜手术(LC)治疗胆囊结石的临床疗效。方法将126例胆囊结石患者随机分为两组,观察组63例行腹腔镜手术,对照组63例行小切口开腹胆囊切除术(MC),并比较两组患者的临床效果。结果观察组的总有效率为96.83%,而对照组为85.71%,两组相比较差异有统计学意义(P<0.05),观察组的手术时间、术中出血量、切口大小、肛门排气时间、下床活动时间、住院时间均优于对照组(P<0.05),观察组的出血、腹部感染、肠粘连、胆漏及并发症总发生率均低于对照组(P<0.05)。结论腹腔镜手术治疗胆囊结石具有切口小、创伤小、术中出血少、住院时间短、并发症少、恢复快等优点。

Observation on efficacy of laparoscopic surgery for gallstone

Objective To investigate the clinical efficacy of laparoscopic surgery(LC) treatment of gallstones. Methods 126 cases of gallstone patients were randomly divided into two groups,63 cases in the observation were treated by the laparoscopic surgery,and 63 cases in the control group were treated by the mini-laparoscopy cholecystectomy(MC),and compared the clinical effect of two groups of patients. Results The total effective rate of the observation group was 96.83%,and the control group was 85.71%,there was statistically significant in two groups(P<0.05),the operation time,blood loss,incision size,flatus,ambulation time,duration of hospitalization in the observation were better than the control group(P<0.05),the bleeding,abdominal infection,adhesions,bile leakage and complications overall incidence rate in the observation group were lower than the control group(P<0.05). Conclusions Laparoscopic surgical treatment of gallbladder stones with a small incision has the features,such as,less trauma,less bleeding,shorter hospital stay,fewer complications,quick recovery.