微创保胆取石术与腹腔镜胆囊切除术治疗胆囊结石的疗效比较

目的对微创保胆取石术与腹腔镜胆囊切除术治疗胆囊结石的疗效进行比较。方法将215例胆囊结石患者分为微创保胆取石组(97例)和腹腔镜胆囊切除组(118例),微创保胆取石组患者须术前检查胆囊功能良好。对两组患者手术时间、术中出血量、术后排气时间、术后疼痛程度、术后住院时间、并发症、住院费用等项目进行统计分析。结果微创保胆取石组术后均恢复良好,无严重并发症发生,经复查B超未见胆囊或胆总管残余结石。两组比较,微创保胆取石组手术时间和住院时间较短、出血量少、术后排气时间短、术后疼痛轻、并发症少、费用较低(P0.05)。两组随访2.5年,未见结石复发和胆管狭窄和癌变。结论微创保胆取石术具有提高生活质量,减少出血量、缩短手术时间和住院时间、减少并发症发生、降低住院费用等优势。

Efficacy comparison of mini-cholecystolithotomy and laparoscopic cholecystectomy in with gallbladder stone patients

Objective To make efficacy comparison of mini-cholecystolithotomy(MC) and laparoscopic cholecystectomy(LC) in gallbladder stone patients.Methods The 215 gallbladder stone patients were divided into MC(97) and LC(118) group.MC group had been tested to be with good function of gallbladder.The operative time,blood loss,postoperative passing gas time,postoperative pain,the days in hospital,complications and hospital costs of the two groups were analyzed.Results The patients in MC group recovered well and there were no serious complications,and no stones were found in gallbladder and common bile duct through B ultrasound examination.The operation time,the time in hospital and the cost of the patients in MC group were shorter and lower(p﹤0.05) compared with those of the patients in LC group.Two and a half years of follow-up witnessed no stone reoccurrence,bile duct stricture or cancerous change.Conclusion MC has advantages of shortening the operation and hospitalization time,reducing blood loss during operation,decreasing the complications and patients’ costs in hospital and improving the quality of their lives as well.