传统术式,腹腔镜与小切口胆囊切除术疗效对比研究

为探讨小切口胆囊切除术的临床价值,作者就传统开腹胆囊切除术３００例（Ａ组）、腹腔镜胆囊切除术３００例（Ｂ组）、与小切口胆囊切除术３００例（Ｃ组）的手术时间、术中出血量、并发症、术后胃肠功能恢复时间、输液天数和住院天数等项指标进行了对比。结果显示：Ａ组手术时间、术中出血量、输液天数、胃肠功能恢复时间及住院天数比Ｂ、Ｃ两组长（Ｐ＜０．０５）。Ｂ、Ｃ两组的手术时间、术中出血量、胃肠功能恢复时间、输液天数及住院时间相近似。并发症发生率Ａ组（０．３３％）比Ｂ组（１．６６％）低,而Ｃ组未出现１例并发症（Ｐ＜０．０５）。综合三组疗效对比,Ｃ组明显优于Ａ、Ｂ两组。

The comparison of conventional open cholecystectomy, laparoscopic cholecystectomy and minor-incision cholecystectomy

To study the clinical value of minor incision for cholecystectomy, compared conventional open cholecystectomy (300 patients, group A), alparoscopic cholecytectomy (300 patients, group B), and minor-incision cholecystectomy (300 patients, group C) with regard to duration (day) of operation, amount of intraoperative bleeding, complications, time (day) of gastrointestinal function recovery, intravenous infusion, and expense and time (day) of hospitalization. The results showed that the operating time, amount of bleeding, duration of intravenous infusion, time of gastrointestinal function recovery and hospitalization in group A were significantly different from those in group B and C (P < 0.05), but the incidence in group A was lower than that in group B. The operating time, amount of intraoperative bleeding, and the time of gastrointestinal function recovery and intravenous infusion in group B were similar to those in group C, but there was a high rate of intraoperative and postoperative complication in group B (1.66%). There was no complication in group C (P < 0.05). Comparison of the effects among group A, B and C showed that it was superior in group C to those in group A and B.