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腹腔镜与开腹手术治疗胆管结石的对比研究

Comparative study on treatment of common bile duct calculi by laparoscopy and laparotomy

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【作者】 孙启栋罗明雷张京雨夏丽华唐公杰胡三元

【Author】 Sun Qidong, Hu Sanyuan, Luo Minglei, et al (Yishui Central Hospital,Yi shui 276400; The Second Hospital of Shandong University 250033)

【机构】 沂水中心医院山东大学第二医院 沂水 276400沂水 276400250033

【摘要】 目的:比较腹腔镜胆总管切开纤维胆道镜(纤胆镜)取石与开腹手术治疗胆管结石的临床效果。方法:对比研究腹腔镜胆总管切开治疗胆管结石30例,与同期开腹手术30例。结果:两组的手术时间、术后并发症及术后结石残留率差异无显著性(P>0.05)。腹腔镜组出血量少,康复快,住院时间短。结论:腹腔镜手术治疗胆管结石安全、有效,优于开腹术。

【Abstract】 Objective: To explore the effect of the treatment for common bile duct calculi using laparoscope. Method: 30 cases with common bile duct calculi were treated by laparoscopy, while 30 cases were treated by laparotomy. Results: The operative time, postoperative complication and calculi residual rate were compared in two groups. All of them were not significantly different in two groups (P>0.05). The blood lost in laparoscopy was less than that in laparotomy. The recovery time and hospitalization in laparoscopy were shorter than those in laparotomy. Conclusion: Treatment of common bile duct calculi by laparoscopy is safe, effective and suprior to that by laparotomy.

【关键词】 腹腔镜术胆总管结石剖腹术
【Key words】 LaparoscopyCommon bile duct calculiLaparotomy
  • 【文献出处】 腹腔镜外科杂志 ,Journal of Laparoscopic Surgery , 编辑部邮箱 ,2001年01期
  • 【分类号】R657.42
  • 【被引频次】30
  • 【下载频次】57
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