Zhang Shubin, Xing Zhongqiang, Zhou Xinbo, Hu Zixuan, Liu Jianhua
Department of General Surgery, The Second Hospital of Hebei Medical University, Shijiangzhuang 050000, Hebei, China.
Evid Based Complement Alternat Med. 2022 Aug 31;2022:3306771. doi: 10.1155/2022/3306771. eCollection 2022.
To investigate the clinical value of hepatectomy based on minimally invasive surgical images in the treatment of hepatolithiasis.
The clinical data of 87 patients with hepatolithiasis who received treatment in the Department of General Surgery of our hospital from February 2020 to September 2021 were retrospectively analyzed. According to different surgical methods, the patients were divided into minimally invasive group ( = 43) and laparotomy group ( = 44). Perioperative conditions and stone clearance rate were compared.
The preoperative conditions of patients in the two groups were comparable, and the average operation time in the minimally invasive group was significantly longer than that in the laparotomy group ( = 18.783, < 0.001). There was no significant difference in intraoperative bleeding, postoperative fasting time, postoperative complications, and stone clearance between the two groups ( > 0.05). Postoperative hospital stay was significantly lower in the minimally invasive group than that in the laparotomy group ( = -0.486, < 0.001).
Hepatectomy based on minimally invasive surgical imaging for hepatolithiasis is safe and feasible, has high clinical value, and can achieve similar short-term clinical efficacy to laparotomy and reduce the postoperative hospital stay of patients, reflecting its minimally invasive advantages, and it is worthy of clinical application.
探讨基于微创外科影像的肝切除术在肝内胆管结石治疗中的临床价值。
回顾性分析2020年2月至2021年9月在我院普通外科接受治疗的87例肝内胆管结石患者的临床资料。根据手术方式不同，将患者分为微创组（n = 43）和开腹组（n = 44）。比较两组围手术期情况及结石清除率。
两组患者术前情况具有可比性，微创组平均手术时间显著长于开腹组（t = 18.783，P < 0.001）。两组术中出血量、术后禁食时间、术后并发症及结石清除情况比较，差异均无统计学意义（P > 0.05）。微创组术后住院时间显著短于开腹组（t = -0.486，P < 0.001）。
基于微创外科影像的肝切除术治疗肝内胆管结石安全可行，具有较高的临床价值，可获得与开腹手术相似的短期临床疗效，减少患者术后住院时间，体现了其微创优势，值得临床应用。
