Clinical Efficacy of Laparoscopic Roux-en-Y Cholangiojejunostomy for Benign Bilioenteric Anastomotic Strictures
Objective:To explore the clinical efficacy of laparoscopic Roux-en-Y cholangiojejunostomy for benign bilioenteric anastomotic strictures.Methods:100 patients with benign bilioenteric anastomotic strictures in the hospital from June 2019 to January 2023 were enrolled,and classified into open group and laparoscopic group,with 50 cases in each group.Then the laboratory indexes[total bilirubin(TBIL),direct bilirubin(DBil),alanine aminotransferase(ALT),aspartate aminotransferase(AST),alkaline phosphatase(ALP),γ-Glutamyl transpeptidase(γ-GT)and C-reactive protein(CRP)],intraoperative and postoperative indexes,and the incidence of adverse reactions were compared between two groups.Results:After treatment,the CRP level in laparoscopic group was significantly lower than that in open group,with statistically significant difference(t=3.802,P＜0.05).The operation time in laparoscopic group was longer than that in open group,and the intraoperative blood loss was less than that in open group.The postoperative exhaust time,drainage tube removal time and hospital stay were shorter than that in open group,with statistically significant difference(t=2.139,3.465,6.549,7.553,2.404;P＜0.05).The incidence of postoperative adverse reactions in laparoscopic group was significantly lower than that in open group,and the difference was statistically significant(x2=5.741,P＜0.05).Conclusion Application of laparoscopic Roux-en-Y cholangiojejunostomy for benign bilioenteric anastomotic strictures can effectively attenuate the inflammation response,reduce the intraoperative blood loss,shorten the postoperative recovery time,and decrease the adverse reaction rate in patients.
万方数据
维普
