南方医科大学学报2016，Vol.36Issue(10)：1429-1434,6.DOI:10.3969/j.issn.1673-4254.2016.10.23
腹腔镜技术在胆道外科的应用：单中心23年回顾性分析
Development of laparoscopic technology in biliary surgery in the past 23 years：a single-center experience
摘要
Abstract
Objective To summarize the 23-year experience of laparoscopic biliary surgery in General Hospital of PLA and evaluate the application of laparoscopic surgery in the treatment of biliary diseases. Methods We retrospectively analyzed the clinical data of 11 419 consecutive patients with biliary diseases undergoing laparoscopic surgery from April, 1992 and December, 2014. The disease spectrum was compared between patients treated before December 31, 2003 and those treated after the time point. Results The 11419 patients receiving laparoscopic surgery accounted for 56.3% of the total patients undergoing biliary surgeries during the 23 years, including 4701 male and 6718 female patients with a mean age of 50.9 ± 13.2 years (6-93 years). Most (80.83%) of the patients received laparoscopic surgery for gallbladder stones, and 12.53%patients had the operation for gallbladder polyps. The laparoscopic operation rate was 84.81% in patients with gallbladder stones and 34.91% in patients with extrahepatic bile duct stones, but remained low in patients with biliary carcinoma. In laparoscopic operations, laparoscopic cholecystectomy was the most frequent (96.18%) followed by operations for extrahepatic bile duct stones, in which primary suture accounted for 1.38%, traditional T tube drainage for 0.90%and laparoscopic transcystic duct exploration for 0.72%. For malignant tumors, laparoscopic technique was used mainly for the purpose of exploration (0.34%). The application of laparoscopic technique in biliary surgery tended to increase after the year 2004, especially for benign gallbladder diseases and extrahepatic bile duct stones (P<0.05). Conclusion Laparoscopic technique in biliary surgery is gradually replacing the traditional open operation and becomes the gold standard for the treatment of benign biliary diseases.关键词
胆道外科/腹腔镜手术/开腹手术/胆囊良性疾病/肝外胆管结石Key words
biliary surgery/laparoscopic operation/open operation/gallbladder benign disease/extrahepatic bile duct stones引用本文复制引用
史海达,史宪杰,吕少诚,马焕先,梁雨荣,周林,石雍..腹腔镜技术在胆道外科的应用：单中心23年回顾性分析[J].南方医科大学学报,2016,36(10):1429-1434,6.基金项目
军队“十二五”课题面上项目 （）
