目的 探索经胆囊板入路腹腔镜胆囊切除术的安全性、可行性及优势。 方法 回顾2016年7月~2019年12月我中心完成的腹腔镜胆囊切除术280例，其中经胆囊板入路110例（实验组），传统入路170例（对照组），比较两组年龄、性别、结石大小数量、手术时间、中转开腹率、术中出血量、生物夹使用数目、术后住院天数、并发症发生率、术后引流液体总量。 结果 两组一般情况、手术时间、中转开腹率、术后住院天数、并发症发生率均无统计学差异（P>0.05）；与对照组相比，实验组术中出血量（P=0.004）、生物夹使用数目（P=0.000）、术后引流液体总量较少（P=0.005），术后疼痛较轻（P=0.015）。 结论 经胆囊板入路腹腔镜胆囊切除术安全可行，理论上具有规避术中胆道损伤风险的优势。
Abstract
Objective To explore the safety, feasibility and advantages of cystic plate approach in laparoscopic cholecystectomy. Methods The clinical data of 110 cases of laparoscopic cholecystectomy via cystic plate approach (experimental group) and 170 cases of traditional laparoscopic cholecystectomy (control group) who went to our center from July 2016 to December 2019 was retrospectively analyzed. The gender, age, size and number of stones, operation time, conversion rate, intraoperative blood loss, the number of clips used, postoperative hospital stay, complication rate, the amount of postoperative drainage fluid were compared between the two groups to evaluate the therapeutic effect and clinical value of different techniques. Results There was no statistical difference in general conditions, operation time, conversion rate, postoperative hospital stay, and complication rate between the two groups (P>0.05). The intraoperative blood loss (P=0.004), the number of clips used (P=0.000), the amount of postoperative drainage fluid (P=0.005), the postoperative pain (P=0.015) in the experimental group were less than those in the control group. Conclusions Laparoscopic cholecystectomy via the gallbladder plate approach is safe and feasible, and theoretically has the advantage of avoiding the risk of intraoperative biliary tract injury.
关键词
胆囊结石； /
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腹腔镜胆囊切除术； /
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胆囊板； /
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解剖入路
Key words
Gallbladder stones; /
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Laparoscopic cholecystectomy; /
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Cystic plate; /
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Anatomical approach
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