腹腔镜辅助肝左外叶切除治疗肝胆管结石的临床研究

腹腔镜辅助肝左外叶切除治疗肝胆管结石的临床研究

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-06-25

The Effect of Treatment of Hepatolithiasis by Total Laparoscopic Liver Resection

Received:1900-01-01 Revised:1900-01-01 Online:2012-06-25

摘要/Abstract

摘要： 目的:探讨腹腔镜辅助肝左外叶切除治疗肝胆管结石的临床疗效。方法:2008年1月～2011年10月我院为27例肝胆管结石患者行肝左外叶切除术,其中腹腔镜辅助手术12例,开腹手术15例,观察比较两组间手术切口、手术时间、术中出血、术后住院时间、术后并发症的差异。结果:腹腔镜组手术切口明显短于开腹组[(6.1±0.8)cm VS(19.5±2.9)cm,P<0.05],术后住院时间明显短于开腹组[(9.8±2.1)d VS(12.9±2.8)d,P<0.01];腹腔镜组手术时间长于开腹组为[(252.1±61.3)min VS(179.3±31.7)min,P<0.01];腹腔镜组术中出血和术后并发症与开腹组无显著性差异(P>0.05)。结论:腹腔镜辅助肝左外叶切除治疗肝胆管结石是安全和可行的。

Abstract: Objective:To integrative clinical efficacy of treatment of hepatolithiasis by total laparoscopic liver resection.Methods:27 patients with hepatolithiasis were divided into observed group(12 cases) who underwent total laparoscopic liver resection and control group(15 cases) who underwent the surgical resection of the traditional method.The wound length,operative time,intraoperative blood loss,duration of hospitalization,postoperative complications were measured and compared.Results:The wound length in the observation group was significantly shorter than in the control group [(6.1±0.8)cm VS(19.5±2.9)cm,P<0.05].The postoperative hospitalization time in the observation group was significantly shorter than in the control group [(9.8±2.1)d VS(12.9±2.8)d,P<0.01].Operation time in the control group was significantly shorter than that in observation group[(252.1±61.3) min VS(179.3±31.7)min,P<0.01].There were no significant difference in intraoperative blood loss and postoperative complications between observation group and control group(P> 0.05).Conclusion:The treatment of hepatolithiasis by total laparoscopic liver resection is safe and effective.

. 腹腔镜辅助肝左外叶切除治疗肝胆管结石的临床研究[J]. .

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