腹腔镜下解剖性左半肝切除治疗肝内胆管结石的疗效观察(1)
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[摘要] 目的 探讨腹腔镜下解剖性左半肝切除治疗肝内胆管结石的临床效果。 方法 选择手术治疗的肝内胆管结石患者54例，分为腹腔镜组和开腹组，比较两组术中、术后情况。 结果 两组手术时间差异无统计学意义(P > 0.05)。两组术中出血量、拔除引流管的时间、术后使用镇痛药物的时间、术后住院时间比较差异有统计学意义(P < 0.01或P < 0.05)，两组并发症例数比较，差异无统计学意义(P > 0.05)。 结论 腹腔镜下左半肝切除治疗肝内胆管结石能够减少术中出血量、缩短拔除引流管的时间和术后使用镇痛药的时间，且不增加并发症的发生。
[关键词] 腹腔镜；肝内胆管结石；Child分级
[中图分类号] R657.4 [文献标识码] B [文章编号] 1673-9701(2012)30-0045-02
Curative effect observation of laparoscopic left semihepatectomy for the treatment of hepatolithiasis
KUANG Haineng LIU Qifei ZHAGN Weiju
Department of Surgery， Hanguang Hospital of Yingde City in Guangdong Province， Yingde 513036， China
[Abstract] Objective To discuss the efficacy of laparoscopic left semihepatectomy for the treatment of hepatolithiasis. Methods Selected 54 cases with hepatolithiasis were devided into laparoscopic group and open group.Intraoperative and postoperation were compared between two groups. Results The operating time of two groups had no significant difference(P > 0.05). Peri-operative bleeding of laparoscopic group was less than open group， the time of decannulation and using of analgesic drug in laparoscopic group were shorter than open group，the postoperative hospitalization time in laparoscopic group was also shorter than open group (P < 0.01 or P < 0.05). Complications of two groups had no significant difference(P > 0.05). Conclusion Laparoscopic left semihepatectomy for the treatment of hepatolithiasis shows less Peri-operative bleeding， can shorten the time of decannulation and using of analgesic drug， and no increase complications.
[Key words] Laparoscopic；Hepatolithiasis；Child classification
肝内胆管结石以肝脏左叶和右后叶为多发[1]，肝叶规则切除是治疗肝内胆管结石的有效方法之一[2] ......
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