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Comparison of Conventional Open Cholecystectomy, Mini-Incision Cholecystectomy,Llaparoscopic Cholecystectomy and Modified Percutaneous Cholecystolithotomy and Cholecystopolypectomy with Primary Suture of Gallbladder
Author(s): 
Pages: 224-226
Year: Issue:  4
Journal: JOURNAL OF NAVAL GENERAL HOSPITAL

Keyword:  胆囊切除术小切口胆囊切除术腹腔镜胆囊切除术经皮胆镜胆囊一期缝合术;
Abstract: 目的比较四种胆囊手术方式的优缺点,为临床选择术式做参考.方法将传统胆囊切除术78例、小切口胆囊切除术145例、腹腔镜胆囊切除术98例、改良经皮胆镜胆囊一期缝合术45例四组的手术时间、术中出血量、并发症、胃肠功能恢复时间、输液天数、住院天数、医疗费用等指标进行对比.结果传统胆囊切除术组无论手术时间、出血量、下床活动时间、胃肠功能恢复时间、住院天数等均明显高于其他组(P<0.05).手术并发症小切口胆囊切除术及腹腔镜胆囊切除术组明显高于传统胆囊切除术及改良经皮胆镜胆囊一期缝合术组(P<0.05).术后并发症腹腔镜胆囊切除术组1例胆瘘和出血,而传统胆囊切除术组和小切口胆囊切除术组切口感染明显高于其他两组(P<0.05).医疗费用腹腔镜胆囊切除术组明显高于其他组(P<0.05).结论传统胆囊切除术作为最安全的手术方式在胆囊疾患的治疗中仍占有重要的地位.腹腔镜胆囊切除术、小切口胆囊切除术、改良经皮胆镜胆囊一期缝合术都是微创胆囊手术,是近年来的发展方向,每种手术方式都有其存在的价值,可根据患者病情、经济情况及设备情况,结合术者的经验,选择合适的术式.
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