腹腔镜联合纤维胆道镜实施保胆手术的疗效
邹明;江帆;章关平
【期刊名称】《江苏医药》 【年(卷),期】2017(043)008
【摘要】目的 观察腹腔镜联合纤维胆道镜实施保胆手术的临床效果.方法 胆囊结石患者132例分别采用腹腔镜联合纤维胆道镜实施保胆手术(A组,72例)和腹腔镜胆囊切除术(B组,60例),比较两组手术相关指标.结果 A、B组手术时间相仿[(60.3±13.2) min vs.(53.6±7.3) min](P＞0.05).与A组比较,B组胆管损伤率高(1.7％vs.0),术后胆汁反流发生率高(20.3％ vs.3.1％),住院时间长[(6.3±0.7)d vs.(4.3±0.5)d](P＜0.05).结论 在胆囊结石患者,腹腔镜联合纤维胆道镜实施保胆手术能保持胆道完整,较常规腹腔镜胆囊切除术并发症少,术后恢复快.%Objective To observe the clinical efficacy of gallbladder-saving surgery by combined use of laparoscopy and fiber bile duct endoscopy.Methods A total of 132 patients with gallbladder stone was treated with gallbladder-saving surgery by combined use of laparoscopy and fiber bile duct endoscopy(group A,72 cases) or conventional laparoscopic cholecystectomy(group B,60 cases).The operation-related
outcomes
were
compared
between
two
groups.Results The operation time of group A was similar to that of group B[(60.3 ± 13.2) minutes vs.(53.6 ± 7.3) minutes] (P＞0.05).Compared to group A,group B had higher incidence rates of bile duct injury(1.7％ vs.0) and bile reflux(20.3％ vs.3.1％),and longer
腹腔镜联合纤维胆道镜实施保胆手术的疗效
