【摘要】 目的探讨腹腔镜下胆道镜保胆手术的疗效。方法回顾性分析深圳市龙岗中心医院与同济医院2008年6月至2013年1月期间施行的60例腹腔镜下胆道镜保胆手术(观察组)患者的临床资料,并与同期开展的61例小切口保胆手术(对照组)患者进行对比分析。结果所有患者均进行(18±2.4)个月(6~36个月)随访;观察组在术中出血量、术后胆囊内出血发生率、胆囊功能减退发生率、术后住院时间、结石复发率及再手术率方面均少于或低于或短于对照组(P<0.05),观察组的手术时间及住院费用长于或多于对照组(P<0.05),其余观察指标2组间的差异均无统计学意义(P>0.05)。结论腹腔镜联合胆道镜行保胆手术在技术层面上是安全可行的,术后患者近期效果较好,但必须严格把握手术适应证。其长期疗效需进一步积累病例资料及收集足够的循证医学证据来验证。更多还原

【Abstract】 Objective To explore the effect of gallbladder preserving surgery with laparoscope and choledochoscope. Methods The data of 60 cases of gallbladder preserving surgery with laparoscope and choledochoscope(observation group) and carried out with the same period 61 cases of small incision gallbladder preserving surgery(control group) between June 2008 to January 2013 were retrospective analyzed. Results All patients were followed up for (18±2.4) months (6-36 months). The intraoperative blood loss,postoperative gallbladder hemorrhage rate,gallbladder dysfunction rate,postoperative hospitalization time,stone recurrence rate,and reoperation rate in observation group were less or lower or shorter than the control group (P<0.05). The operative time and hospital costs in observation group were longer or higher than that of the control group (P<0.05). The rest of the observation index of two groups were no significant differences(P>0.05). Conclusions The gallbladder preserving surgery with laparoscope and choledochoscope is safe and feasible in technique level,and the short-term effect after operation is better. But the operation indications must be controlled strictly. The long-term efficacy needs further accumulation of cases and collect enough evidence to verify.更多还原