摘要
目的讨论高龄胆总管结石合并胆囊结石患者采用腹腔镜联合胆道镜治疗的安全性与可行性。方法回顾性研究2013年9月—2016年9月85例在郑州市中心医院住院的胆总管结石合并胆囊结石患者的临床资料,随机分为腹腔镜联合胆道镜组(实验组,43例)与传统开腹组(对照组,42例),对比分析两组临床资料,术后随访12~24个月。结果两组患者手术均成功完成,实验组无中转开腹者;实验组术中出血量、手术时间、术后首次排气时间、下床活动时间、住院时间及术后并发症显著低于对照组(P<0.05)。结论采用腹腔镜联合胆道镜治疗高龄胆总管结石合并胆囊结石患者是安全、可行、微创的手术方式。
Objective To discuss the safety and feasibility of laparoscopy combined with choledochoscopy in the treatment of elderly patients with choledocholithiasis and cholecystolithiasis. Methods A retrospective study of clinical data of 85 cases hospitalized in Zhengzhou Central Hospital of cholecystolithiasis and choledocholithiasis patients from September 2013 to September 2016,were randomly divided into laparoscopic group（ experimental group,43 cases） and laparotomy group（ control group,42 cases）,the clinical data of two groups were compared. Followed up 12-24 months. Results Two groups of patients were successfully completed,no conversion to laparotomy in the experimental group; The bleedingvolume,operation time,the first postoperative exhaust time in the experimental group were significantly lower than those in the control group（ P 〈 0. 05）. Conclusion Laparoscopy combined with choledochoscopy in the treatment of elderly patients with choledocholithiasis and cholecystolithiasis is safe,feasible and minimally invasive.
作者
王奥迪
李学民
尹飞飞
段希斌
WANG Ao - di;LI Xue - rain;YIN Fei - fei;DUAN Xi - bin(Hepatobiliary and Pancreatic Surgery, Zhengzhou Center Hospital Affiliated to Zhengzhou University,Zhengzhou 450007, Chin)
出处
《医药论坛杂志》
2018年第5期12-14,共3页
Journal of Medical Forum
基金
2018年度河南省重大科技专项(182102310482)
关键词
高龄
腹腔镜
胆管结石
胆囊结石
Elderly
Laparoscopy
Choledocholithiasis
Gallstone
