腹腔镜胆囊切除术103例临床观察
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doi：10.3969/j.issn.1007-614x.2014.20.13
摘 要 目的：比较腹腔镜胆囊切除术和开腹胆囊切除术的治疗效果。方法：将良性胆囊疾病患者183例随机分为两组，腹腔镜组103例实施腹腔镜胆囊切除术，开腹组80例实施传统开腹胆囊切除术，比较两组手术时间、术中出血量、术后下床活动时间、胃肠功能恢复时间及住院时间等指标。结果：腹腔镜组手术时间较开腹组长，术中出血量少于开腹组，术后下床活动时间和胃肠功能恢复时间均早于开腹组，住院时间短于开腹组，差异有统计学意义(P<0.05)。结论：腹腔镜胆囊切除术创伤小、恢复快，在准确掌握适应证和认真操作下，并发症发生率可以控制在较低水平，开腹胆囊切除术适应证广，技术成熟，可应对复杂病变。
关键词 腹腔镜胆囊切除术 开腹胆囊切除术 分析
Clinical observation of 103 cases of laparoscopic cholecystectomy
Wang Hefeng
The Central Hospital of Dandong City，Liaoning 118002
Abstract Objective：To compare the treatment effects of laparoscopic cholecystectomy and open cholecystectomy.Methods：183 cases with benign gallbladder disease were randomly divided into two groups.103 cases in the laparoscopy group were given laparoscopic cholecystectomy.80 cases in the laparotomy group were given the traditional open cholecystectomy ......
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