腹腔镜联合胆道镜在肝胆管结石再手术中的应用

发布时间：2019-01-20 16:51

【摘要】：目的:探讨腹腔镜联合胆道镜在肝胆管结石再手术中的临床应用价值。方法:回顾性分析2010年1月至2015年12月86例肝胆管结石再手术患者的临床资料,腹腔镜联合胆道镜手术(腔镜组)36例,开腹手术(开腹组)50例,观察分析两组患者的手术时间、术中出血量、术中输血量、结石清除率、术后住院时间、并发症发生率等指标。结果:腔镜组的手术时间、术中出血量、术中输血量、结石清除率、并发症发生率同开腹组相比差异无统计学意义(P0.05);腔镜组术后住院时间短于开腹组,差异有统计学意义(P0.05);随访期内两组结石复发率、胆管炎复发率差异无统计学意义(P0.05)。结论:腹腔镜联合胆道镜用于肝胆管结石再手术安全可靠,疗效满意。
[Abstract]:Objective: to evaluate the clinical value of laparoscopy combined with choledochoscope in reoperation of hepatolithiasis. Methods: the clinical data of 86 cases of reoperation of hepatolithiasis from January 2010 to December 2015 were retrospectively analyzed. There were 36 cases of laparoscopic choledochoscopy (endoscopic group) and 50 cases of open operation (open group). The operative time, intraoperative blood loss, intraoperative blood transfusion, stone clearance rate, postoperative hospitalization time, complication rate and so on were observed and analyzed. Results: there was no significant difference in operative time, blood loss, blood transfusion, stone clearance rate and complication rate between the endoscopic group and the laparotomy group (P0.05). The postoperative hospitalization time in the endoscopic group was shorter than that in the open group, the difference was statistically significant (P0.05); the recurrence rate of stone and cholangitis in the two groups had no statistical significance during the follow-up period (P0.05). Conclusion: laparoscopy combined with choledochoscope is safe and effective for reoperation of hepatolithiasis.
【作者单位】：广西南宁市第一人民医院(广西医科大学第五附属医院);南方医科大学珠江医院;
【基金】：广东省自然科学基金(编号:2014A030310393) 南宁市普通外科腔镜微创中心建设项目(编号:20153012)
【分类号】：R657.42

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