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腹腔镜手术治疗胃大部切除术后胆总管结石的效果观察

雷霆

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Citation:

腹腔镜手术治疗胃大部切除术后胆总管结石的效果观察

DOI: 10.3969/j.issn.1001-5256.2017.08.020
详细信息
  • 中图分类号: R657.42

Clinical effect of laparoscopic surgery in treatment of common bile duct stones after subtotal gastrectomy

  • 摘要: 目的探讨腹腔镜手术治疗胃大部切除术后胆总管结石的安全性和可行性。方法回顾性分析郑州大学附属洛阳中心医院2010年1月-2016年10月收治的46例行手术治疗的胃大部切除术后胆总管结石患者(均合并胆囊结石)的临床资料,其中25例行腹腔镜胆囊切除+胆总管探查术(腹腔镜组),21例行开腹胆囊切除+胆总管探查术(开腹组)。比较2组患者手术相关情况及术后并发症。2组间计量资料比较采用t检验,计数资料比较采用χ2检验。结果 2组患者均无围手术期死亡病例,腹腔镜组2例(8.0%)中转开腹。腹腔镜组与开腹组相比,术后下床活动时间[(1.2±0.6)d vs(2.4±1.2)d)]、术后肛门排气时间[(1.8±0.5)d vs(2.8±0.8)d]及术后住院时间[(5.2±1.1)d vs(7.5±2.3)d]差异均有统计学意义(t值分别为4.395﹑5.168﹑4.439,P值均<0.001)。2组患者的手术时间、手术出血量、住院费用、T管留置和结石残留率比较,差异均无统计学意义(P值均>0.05)。腹腔镜组术后2例患者出现并发症,发生率为8.0%,开腹组术后3例患者...

     

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  • 收稿日期:  2017-01-09
  • 出版日期:  2017-08-20
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