Objective To compare the postoperative recovery of laparoscope and laparotomy in the treatment of choledochocysts.Methods A retrospective analysis was conducted on 22 cases with choledochocysts in Anqing Hospital Affiliated to Anhui Medical University from Augest 2010 to July 2016.In which 10 cases were treatment with laparoscopic procedure and 12 cases were treatment by laparotomy procedure.The complications and therapeutic effects were compared between the two groups.Results Postoperative time to get out of bed was significantly shorter in the laparoscopic group than in the laparotomy group (25.2 h ± 7.5 h vs 44.7 h ± 13.0 h,P ＜0.001).The resumption of alimentation was significantly shorter in the laparoscopic group than in the laparotomy group (3.24 d ± 1.08 d vs 4.76 d ± 1.01 d,P ＜0.01).The duration of drainage in the laparoscopic group was significantly shorter(3.43 d ± 0.69 d vs 4.27 d ± 0.83 d,P ＜ 0.05);The postoperative hospital stay in the laparoscopic group was significantly shorter than that in the laparotomy group (7.12 d ± 1.51 d vs 8.74 d ± 1.62 d,P ＜ 0.05).Bile leakage、cholangitis、pancreatic fistula and bowel obstruction were the primary complications in both groups,but there was no significantly difference between two groups in the rate of complications (P ＞ 0.05).Conclusions Laparoscopic group has many advantages over laparotomy group in the treatment of choledochocysts,such as early recovery,short postoperative hospital stay,and without increasing the development of complications,so laparoscopic is satisfactory in the treatment of choledochocysts.%目的 比较腹腔镜与开腹手术治疗胆总管囊肿的术后恢复情况.方法 收集我院2010年8月至2016年7月收治胆总管囊肿22例,10例采用腹腔镜手术治疗,12例采用开腹手术治疗,对比分析两组患儿术后恢复及并发症情况.结果 术后下床活动时间:腹腔镜组较开腹组短(25.2h±7.5 hvs44.7h±13.0h,P＜0.001);术后恢复饮食时间:腹腔镜组较开腹组短(3.24d±1.08 dvs4.76d±1.01 d,P＜0.01);术后引流时间:腹腔镜组较开腹组短(3.43 d ±0.69 d vs 4.27 d ±0.83d,P＜0.05);术后住院时间:腹腔镜组较开腹组短(7.12 d±1.51 d vs 8.74 d±1.62 d,P＜0.05);两组术后并发症胆瘘、胆管炎、胰腺炎、粘连性肠梗阻的发生率无统计学差异(P＞0.05).结论 与开腹手术相比,腹腔镜治疗胆总管囊肿具有术后恢复快、住院时间短等优势,且并不增加术后并发症的发生,是理想的手术方式.
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