【摘要】 目的 探讨肝圆韧带入路腹腔镜取石术治疗肝胆管结石复发的效果。方法 选择2017年10月至2020年10月我院收治的80例肝胆管结石复发患者，按照抽签法分为观察组与对照组。对照组采用腹腔镜手术，观察组采用肝圆韧带入路腹腔镜取石术。比较两组的手术指标、并发症及结石复发率。结果 观察组手术时间、肛门首次排气时间、胆红素恢复时间、住院时间短于对照组，术中出血量少于对照组（P <0.05）。观察组并发症发生率为5.00%，低于对照组的20.00%(P <0.05)。73例患者随访6～26个月，观察组结石复发率为0.00%，低于对照组的16.67%(P <0.05)。结论 肝圆韧带入路腹腔镜取石术治疗肝胆管结石复发的手术时间短，出血量与并发症少，且远期结石复发率低。更多还原

【Abstract】 Objective To explore the effect of laparoscopic lithotomy through hepatic round ligament approach in the treatment of hepatolithiasis recurrence. Methods 80 patients with hepatolithiasis recurrence admitted to our hospital from October 2017 to October 2020were selected and divided into observation group and control group according to the drawing lots. The control group received laparoscopic surgery, and the observation group received laparoscopic lithotomy through hepatic round ligament approach. The operation indicators,complications and recurrence rate were compared between the two groups. Results The operation time, first anal exhaust time, bilirubin recovery time and hospitalization time of the observation group were shorter than those of the control group, and the intraoperative blood loss was less than that of the control group(P <0.05). The incidence of complications in the observation group was 5.00%, lower than20.00% in the control group(P <0.05). During the follow-up of 6 to 26 months, the recurrence rate of the observation group was 0.00%,lower than that 16.67% in the control group(P <0.05). Conclusions Laparoscopic lithotomy through hepatic round ligament approach in the treatment of hepatolithiasis recurrence has shorter operation time, less blood loss, fewer complications, and lower long-term recurrence rate.更多还原