腹腔镜下肝切除术治疗肝内胆管结石的疗效观察
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【摘要】 目的：比较腹腔镜及开腹手术治疗肝内胆管结石，探讨腹腔镜治疗肝内胆管结石的可行性、安全性及适应证。方法：随机选取并回顾分析2003-12至2012-12于我院治疗肝内胆管结石患者80例。其中研究组患者40例，采用腹腔镜肝切除术联合胆道镜治疗肝内胆管结石。对照组患者40例采用开腹肝切除术治疗肝内胆管结石。结果：研究组手术时间长于对照组，且两组差异存在统计学意义(p<0.05)，但前者术中出血量、肛门排气时间、住院时间少于后者，差异存在统计学意义(p<0.05)。研究组并发症发生率为27.5%，对照组为70.0%，前者明显小于后者，两组差异存在统计学意义(p<0.05)。结论：腹腔镜治疗肝内胆管结石，可减轻因开腹手术对腹腔内脏器的干扰和对全身的损伤,术中尽量取尽结石，减少术后并发症，适宜临床推广。
【关键词】肝内胆管结石；腹腔镜；开腹手术；肝叶切除
The clinical observation of treating hepatolithiasis with laparoscopic hepatectomy
Wang Jun
AbstractObejective: To dsicuss the feasibility, safety and indication of treating hepatolithiasis with laparoscopic hepatectomy. Methods: Choosed 80 patients of hepatolithiasis from Dec. 2003 to Dec. 2012 to divide into study group with laparoscopic hepatectomy joint choledochoscope with 40 cases and controlled group were treated with laparotomy with 40 cases. Results: The operation time in study group was longer than controlled group (P<0.05), but the blood amont and anus exhausting time, in-hospital time in study group were less than controlled group. The incidence of complication were 27.5% in study group, and 70.0% in controlled group. Conclusion: Treating hepatolithiasis with laparoscopic hepatectomy could decrease systemic damage to decrease calculus and complication to extend in clinic ......
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