肝胆胰外科杂志2011，Vol.23Issue(2)：109-111,3.
腹腔镜辅助胆道镜下胆总管切开取石的临床研究
Clinical research on laparoscopy-assisted choledochofiberscopic choledocholithotomy
陈建荣 1顾琤 1于进玲 1陆孝道 1顾建萍 1李先玮 1张学利1
作者信息
- 1. 上海市奉贤区中心医院、上海交通大学附属第六人民医院奉贤分院,普外科,上海,201400
- 折叠
摘要
Abstract
Objective To probe the feasihility and clinical value of laparoscopy-assisted choledochofiberscopic choledocholithotomy. Methods Sixty patients with cholecystolithiasis and choledocholithiasis, who were hospitalized between Jan 2009 and Oct 2010. were randomly and equally divided into two groups. Thirty patients (group A) underwent laparoscopy-assisted choledochofiberscopic choledocholithotomy. Other 30 patients (group B) underwent open cholecystectomy and choledocholithotomy. The patients ' surgery duration, post-operative complications, incisional pain, hospital charges, hospital time and gastrointestinal function recovery time of both groups were analyzed with SPSS11.0, and there was statistical significance when P＜0.05. Results There were no case of death in our study. There was no significant difference in surgery duration or hospital charges hetween the two groups (P ＞0.05). Patients in group B have longer gastrointestinal function recovery time. more severe incisional pain, longer hospital time and more post-operative complications (P＜0.01). Conclusion Laparoscopy-assisted choledochofiberscopic choledocholithotomy is a new type of minimally invasive surgery. With strict operative indications and contraindications, it is an ideal operation with a high success rate for the treatment of cholecystolithiasis with choledocholithiasis.关键词
胆囊结石/胆总管结石/腹腔镜/胆道镜/胆总管探查分类
医药卫生引用本文复制引用
陈建荣,顾琤,于进玲,陆孝道,顾建萍,李先玮,张学利..腹腔镜辅助胆道镜下胆总管切开取石的临床研究[J].肝胆胰外科杂志,2011,23(2):109-111,3.
