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腹腔镜胆总管探查术中两种胆管引流术式的生活质量比较

Comparison of quality of life between two biliary drainage procedures in laparoscopic common bile duct exploration.

作者信息

Xin Ying, Zhu Xin, Wei Qi, Cai Xiujun, Wang Xianfa, Huang Diyu

机构信息

Department of General Surgery, Sir Run Run Shaw Hospital, Medical College of Zhejiang University Hang Zhou, China.

出版信息

Hepatogastroenterology. 2007 Mar;54(74):331-3.

Abstract

BACKGROUND/AIMS: With various kinds of minimal access surgery being introduced, quality of life must be considered as a measure of whether minimal access surgery is good or not. We evaluate the difference in quality of life using two kinds of biliary drainage procedures in laparoscopic common bile duct exploration.

METHODOLOGY

Forty cases of laparoscopic common bile duct exploration with cholecystectomy were studied to compare gastrointestinal quality of life index (GIQLI) preoperatively and postoperatively at two, five and sixteen weeks in two groups using different biliary drainage procedures.

RESULTS

There was no preoperative GIQLI difference between the two groups. Cases with biliary drainage through the cystic duct achieved earlier recovery. GIQLI of all cases reached normal sixteen weeks postoperatively.

CONCLUSIONS

Biliary drainage through the cystic duct in laparoscopic common bile duct exploration may help to improve the postoperative GIQLI in patients.

摘要

背景/目的:随着各种微创手术的引入,生活质量必须被视为衡量微创手术优劣的一个指标。我们在腹腔镜胆总管探查术中采用两种胆管引流方法,评估生活质量的差异。

方法

对40例行腹腔镜胆总管探查术并胆囊切除术的患者进行研究,比较两组采用不同胆管引流方法在术前、术后2周、5周和16周时的胃肠道生活质量指数(GIQLI)。

结果

两组术前GIQLI无差异。通过胆囊管进行胆管引流的患者恢复较早。所有患者的GIQLI在术后16周恢复正常。

结论

腹腔镜胆总管探查术中通过胆囊管进行胆管引流可能有助于改善患者术后的GIQLI。

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