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目的探讨腹腔镜切除术对早期胆囊癌患者疗效及并发症的影响。方法选取2012年9月至2015年9月期间本院确诊治疗的早期胆囊癌患者100例,依据随机数表法随机分为腹腔镜组和根治组,每组50例,根治组患者给予常规根治性切除术治疗,腹腔镜组患者给予腹腔镜切除术治疗,随访1年,分析所有患者手术、术后排气、胃肠功能恢复时间、术中出血量和并发症及复发情况。结果腹腔镜组患者手术、术后排气、胃肠功能恢复时间、术中出血量明显低于根治组,差异有统计学意义(P<0.05);腹腔镜组患者并发症发生率明显低于根治组,差异有统计学意义(P<0.05),但2组患者1年复发率基本相同,差异无统计学意义(P>0.05)。结论腹腔镜切除术治疗早期胆囊癌的疗效确切,可有效减少术中对患者的创伤,有利于患者术后恢复和减少并发症的发生,且无增加复发的风险,值得临床作进一步推广。
Objective To investigate the effect of laparoscopic resection on the curative effect and complications of patients with early gallbladder cancer. Methods From September 2012 to September 2015, 100 patients with early gallbladder cancer diagnosed and treated in our hospital were randomly divided into laparoscopic group and radical group according to the random number table method, 50 cases in each group. The patients in radical group were given routine radical Laparoscopic resection was performed in patients undergoing laparoscopic resection. The patients were followed up for 1 year. All patients underwent surgery, postoperative exhaust, gastrointestinal function recovery time, intraoperative blood loss, complications and recurrence. Results The laparoscopic group had significantly lower operative time, postoperative exhaust, gastrointestinal function recovery time and intraoperative blood loss than those in the radical group (P <0.05). The incidence of complications in the laparoscopic group was significantly lower than that in the radical group The difference was statistically significant (P <0.05), but the 1-year recurrence rates of the two groups were basically the same, with no significant difference (P> 0.05). Conclusion Laparoscopic surgery for the treatment of early gallbladder cancer is effective, which can effectively reduce the intraoperative trauma to patients, is conducive to postoperative recovery and reduce the incidence of complications, without increasing the risk of recurrence, is worth further promotion of clinical.