摘要
Abstract
Objective To explore the difference of the safety and prognosis effect between the routine surgery and laparoscopic minimally invasive surgery for patients with cholecystolithiasis, provide method guidance for clinical treatment. Method 114 patients with cholecystolithiasis were divided into minimally invasive group (60 cases) and routine group (54 cases). Minimally invasive group were treated by endoscopy combined with minimally invasive surgery, routine surgery group used open operation; two groups were compared in traoperativepostoperative situation, curative effects and adverse reactions. Result The surgery time in minimally invasive group was signiifcantly longer than routine group, the blood loss, postoperative 24 hours leukocyte content and temperature, postoperative gastrointestinal exhaust time, length of hospital stay in minimally invasive group were signiifcantly lower than routine group, the differences were statistically signiifcant (P < 0.05);there was no significant difference between two groups of patients in hospital costs, peritoneal drainage time (P>0.05). Minimally invasive group with total effective rate was 96.7%(58/60), routine group was 98.1%(53/54), the difference was not significant (P > 0.05). Postoperative complications occurred in minimally invasive group was 8.3%(5/60), 14.8%(8/54) in routine group, the difference was not signiifcant (χ2=1.182, P=0.277). Conclusion Laparoscopic minimally invasive surgery for cholecystolithiasis clinical effect has no difference with routine surgery, but laparoscopic minimally invasive surgery can significantly reduce blood loss, postoperative fever and other adverse reactions, but does not increase the incidence of postoperative complications and improve the quality of life of patients, it is worth clinical application.关键词
胆囊结石/常规手术/腹腔镜微创手术/安全性Key words
Cholecystolithiasis/Routine surgery/Minimally invasive surgery/Safety
