腹腔镜辅助胆道镜保胆取石术与腹腔镜胆囊切除术治疗胆囊结石的对比分析

摘要

Objective  To discuss the effect difference of the treatment of gallstone between by laparoscopic-assisted choledochoscopic gallbladder-preserving cholecystolithotomy and laparoscopic cholecystectomy (LC).Methods  96 cases of gallstone patients were selected and divided into study group and control group, 48 cases in each group. Results  The operative time, blood loss, postoperative hospital stay and hospital costs of two groups showed no statistically signiifcant difference (P>0.05); both groups didn’t occur adverse reactions such as jaundice, bile leakage, abdominal bleeding, wound hernia, and wound liquefaction; 4 months after the operation cholecystitis symptoms of two groups had signiifcant differences (P<0.05). Conclusion  The study suggested that laparoscopic-assisted choledochoscopic gallbladder-preserving cholecystolithotomy and LC had similar surgical damage for gallstone treatment, but the former preserved the physiological functions of the gallbladder, hence had a better life quality and fewer adverse symptoms of biliary system.%目的：探讨腹腔镜辅助胆道镜保胆取石术与腹腔镜胆囊切除术治疗胆囊结石的疗效差异。方法选取我院诊断为胆囊结石的96例患者，分为研究组与对照组，每组48例。对比研究组和对照组的手术时间、手术出血量、术后住院天数及住院费用、术后并发症发生情况以及术后4个月胆囊炎症状。结果研究组和对照组的手术时间、手术出血量、术后住院天数及住院费用结果比较无差异（P>0.05）；研究组和对照组术后均未发生黄疽、胆漏、腹腔出血、切口疝、切口液化等不良反应，结果比较无差异（P>0.05）；研究组和对照组术后4个月胆囊炎症状结果比较有差异（P<0.05）。结论腹腔镜辅助胆道镜保胆取石术与腹腔镜胆囊切除术治疗胆囊结石手术损伤相近，但是前者保留了胆囊的生理功能，术后患者生存质量更好，胆道系统不良症状更少。