肝胆胰外科杂志2001，Vol.13Issue(1)：18-20,3.
腹腔镜及大小切口胆囊切除术创伤反应对比研究
A comparative study of wound reaction to LC.MC.OC
李金龙 1陈勇 1李荣祥 1李劲 1何平 1周颖 1潘万能 1毛盛名1
作者信息
- 1. 四川省攀枝花市第五人民医院 肝胆胰中心,
- 折叠
摘要
Abstract
Objective：To discuss the future trend of cholecystectomy by studying wound reaction degree and postoperative recovery after LC、MC、OC. Methods：One hundred and fifty-nine cases with benign and chronic bladder-ball diseases were operated on under general anaesthesia. They were devided randomly into LC group(53cases)、MC(53cases)、OC(53cases). Liver and kidney function、blood glucose、blood and urine routine were normal and no other organ disease in 159 patients before operation. WBC count、blood glucose and temperature were tested before operation、at the end of operation、the first to the third day after operation. Incision length、bleeding amount、operation time,venting time,abdominal drainage amount were recorded.Results：Of one hundred and fifty-eight operated, 1 case in LC group was converted to OC with conversion rate of 1.9%. All patients were cured. Operation time、bleeding amount、incision length and blood glucose increase at the end of operation are signficantly different between LC and MC(P<0.01),MC and OC(P<0.01). WBC count and temperature increase from the end of operation to the third day after operation are signficantly different between LC and MC(P<0.05), MC and OC (P<0.01). Venting time、hospitalization time are signficantly different between LC and MC(P<0.01)、MC and OC(P<0.05), LC and OC(P<0.05).Conclusion：LC is superior to MC and MC is superior to OC in wound degree and postoperative recovery. Mini-wound cholecystectomy was the first choice for benign and chronic bladder-ball diseases,but can not yet replace OC.关键词
胆囊切除术/微创/对比研究分类
医药卫生引用本文复制引用
李金龙,陈勇,李荣祥,李劲,何平,周颖,潘万能,毛盛名..腹腔镜及大小切口胆囊切除术创伤反应对比研究[J].肝胆胰外科杂志,2001,13(1):18-20,3.
