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目的 :分析腹腔镜胆囊切除术 (LC)在儿外科实践的效率。方法 :回顾性研究两所儿童医疗中心开展儿童LC(1 993年 3月～ 2 0 0 0年 5月 )的效果 ,安全性和费用材料。统计分析用Student’st检验。结果 :1 1 8例胆囊切除术中 ,32例OC(2 7% ) ,86例LC(73 % )中 ,3例中转OC(3 .5 % )。手术时间LC =96 .3min与OC =96 .7min ,P >0 .0 5。住院时间LC比OC减少 2 .8d ,P <0 .0 5。两组均无手术技术并发症。LC总费用与OC比较没有明显增加 ,LC是 (30 4 2 9± 897)元与OC是 (30 2 4 5± 6 842 )元 ,P =0 .91。结论 :LC应用于儿童安全而有效。LC明显缩短了住院时间。经过培养的医生做LC ,不会增加并发症。与OC比较 ,LC不增加医疗费用
Objective: To analyze the efficiency of laparoscopic cholecystectomy (LC) in pediatric surgery. METHODS: A retrospective study of the efficacy, safety and cost-effectiveness of children’s LC (March 1993- May 2000) at two children’s medical centers was conducted. Statistical Analysis Student’st test. Results: Of the 118 cases of cholecystectomy, 32 cases had OC (27%) and 86 cases (73%) had LC, and 3 cases had OC (3.5%). Operation time LC = 96. 3min and OC = 96 .7min, P> 0. The hospital stay time (LC) decreased by 2.8 days (P <0.05). No surgical complications occurred in either group. The total cost of LC did not significantly increase compared with that of OC, with LC of (30 4 2 9 ± 897) yuan and OC of (30 2 45 ± 6 842) yuan, P = 0.91. Conclusion: LC is safe and effective for children. LC significantly reduced hospitalization time. After training doctors to do LC, will not increase the complications. Compared with OC, LC does not increase medical expenses