同济大学学报（医学版）2018，Vol.39Issue(1)：10-13,4.DOI:10.16118/j.1008-0392.2018.01.003
两孔法与单孔法腹腔镜联合胆道镜保胆取石术的随机对照研究
Laparoscopic gallbladder-preserving cholecystolithotomy:dual-port versus single-port
摘要
Abstract
Objective To evaluate the advantages and disadvantages of dual-port laparoscopic gallbladder-preserving cholecystolithotomy (DPLC) with single-port laparoscopic gallbladder-preserving cholecystolithotomy (SPLC).Methods Thirty-two patients scheduled to undergo gallbladder-preserving cholecystolithotomy from March 2015 to October 2016 were divided randomly into DPLC group and SPLC group with 16 patients in each group.The operation time,intraoperative blood loss,bowl movement recovery time,postoperative pain,postoperative complication,length of hospital stay and the patient satisfaction score (PSS) were compared between two groups.Results Operations were successful in all patients of DPLC group with complete stone clearance;while 3 cases in SPLC group were converted to DPLC because of adhesion in the abdominal cavity.The operation time and intraoperative blood loss in DPLC group were significantly less than those in SPLC group (P＜0.05).There were no significant differences in postoperative pain (VAS),bowl movement recovery time,length of hospital stay and PSS between two groups.No postoperative complications occurred in both groups.All patients were followed up for 6-24 months,there was no stone recurrence.Conclusion Dual-port laparoscopic chlecystolithotomy is a safe,effective and feasible procedure with less operation time and blood loss.关键词
胆石病/保胆取石术/腹腔镜/胆道镜/随机对照研究Key words
cholecystolithiasis/gallbladder-preserving cholelithotomy/laparoscopy/choledochoscopy/randomized controlled trial分类
医药卫生引用本文复制引用
何川琦,胡海..两孔法与单孔法腹腔镜联合胆道镜保胆取石术的随机对照研究[J].同济大学学报（医学版）,2018,39(1):10-13,4.基金项目
上海市浦东新区卫生系统重点专科建设资助项目(PWZzk2017-10) （PWZzk2017-10）
