腹腔镜胆囊切除术不同解剖技术术后肝功能的比较
Comparison of postoperative liver function between different dissection techniques during laparoscopic cholecystectomy.
作者信息
Mazahreh Tagleb S, Aleshawi Abdelwahab J, Al-Zoubi Nabil A, Altabari Mohammad, Aljarrah Qusai
机构信息
Department of General Surgery & Urology, Faculty of Medicine, Jordan University of Science & Technology, Irbid 22110, Jordan.
King Abdullah University Hospital, Jordan University of Science & Technology, Irbid 22110, Jordan.
出版信息
Future Sci OA. 2020 Feb 7;6(4):FSO462. doi: 10.2144/fsoa-2019-0160.
AIM
In this study, we investigated and compared the effect of different types of dissector (Maryland vs Hook) on changes in liver function tests (LFTs) after laparoscopic cholecystectomy.
PATIENTS & METHODS: The enrolled patients were divided into two groups. Group A patients underwent dissection by Maryland dissecting forceps, group B by Hook dissecting instrument. LFTs were measured preoperatively and at 1 day and 1 week, postoperatively.
RESULTS
For both Maryland and Hook dissection, the 1-day postoperative values for total bilirubin, alanine aminotransferase and aspartate aminotransferase were significantly higher than the preoperative values. Also, there were no statistical differences between Hook and Maryland.
CONCLUSION
The elevation of LFTs seems to be attributed to other factors.
目的
在本研究中，我们调查并比较了不同类型的解剖器（马里兰式与钩状）对腹腔镜胆囊切除术后肝功能检查（LFTs）变化的影响。
患者与方法
纳入的患者被分为两组。A组患者使用马里兰解剖钳进行解剖，B组使用钩状解剖器械。术前以及术后第1天和第1周测量LFTs。
结果
对于马里兰式和钩状解剖，术后第1天总胆红素、丙氨酸转氨酶和天冬氨酸转氨酶的值均显著高于术前值。此外，钩状和马里兰式之间无统计学差异。
结论
LFTs升高似乎归因于其他因素。
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