【摘要】 目的探讨胆囊抽吸在腹腔镜胆囊切除术中对患者术中术后的影响。方法将200例胆石症病人随机分为两组,A组100例,为腹腔镜胆囊切除前进行胆囊抽吸;B组100例,未进行胆囊抽吸。同时观察患者手术时间、术中并发症、住院时间、术后并发症等。结果A组的胆囊穿孔率显著低于B组(P=0.0003),A组的手术时间(46.70±15.93min)显著短于B组(60.75±22.09)min(P=0.047),A组患者的住院时间[(3.6±0.5)d]显著短于B组[(3.6±0.5)d、(4.5±0.8)d](P=0.004)。B组术中、术后并发症均显著多于A组(P=0.62,P=0.02)。结论胆囊抽吸在LC中具有缩短手术时间、降低胆囊穿孔率、减少并发症的优点,值得推广。更多还原

【Abstract】 Objective To investigate the effects of gallbladder aspiration during laparoscopic cholecystectomy(LC)on the operative and postoperative course of patients.Methods For this study,200 patients undergoing LC for symptomatic cholelithiasis were randomly divided into two groups.Gallbladders were aspirated before dissection in group A(n=100),and they were not aspirated in group B(n=100).The operative time,complications during the operation,hospital stay,and postoperative complications were also abserved.Results The rate of gallbladder perforation was significantly lower in group A than in group B(P=0.0003).The operative time was significantly shorter in group A(46.70±15.93 min)than in group B(60.75±22.09 min)(P=0.047).The hospital stay was significantly longer in group B(3.6±0.5 days)than in group A(4.5±0.8 days;P=0.004).The complications during operation and postoperation of group B were both more than those in group A(P=0.62,P=0.02 respectively).Conclusion The gallbladder aspiration during LC could shorter the operative time,lower the perforation of gallbladder rate and decrease the complication,and it should be widely used.更多还原