荧光腹腔镜对胆囊切除术中胆囊三角识别的效果及临床应用价值分析
Effectiveness and clinical utility of fluoroscopic laparoscopy for gallbladder triangle identification during cholecystectomy
赵彦礼 1马晗 1李永崇 1陈斌 1陈伟1
作者信息
- 1. 新疆生产建设兵团第一师医院普外科一病区,新疆阿克苏 843000
- 折叠
摘要
目的 探讨在腹腔镜胆囊切除术(LC)中荧光腹腔镜引导对胆囊三角识别的效果及临床应用价值.方法 随机选取400例、2020年1月～2022年12月期间收治的腹腔镜胆囊切除术(LC)患者,根据手术方案划分为观察组(荧光LC胆囊三角识别,200例)与对照组(常规LC,200例).对比两组临床效果.结果 两组患者的住院、手术及拔管时间、术中出血量无显著性差异(t=0.617,1.245,1.068,0.670;P＞0.05).两组患者术后丙氨酸、天门冬氨酸氨基转移酶(ALT、AST)水平均高于术前(t=0.122,0.099;P<0.05);两组术后ALT、AST水平无统计学意义(t=0.405,0.764;P＞0.05).观察组术后并发症发生率低于对照组(x2=4.114,P＜0.05).结论 在LC中荧光腹腔镜引导有助于术者准确识别胆囊三角,提升患者手术安全性,但荧光腹腔镜对LC手术效率、术中出血量、拔管及住院时间、ALT、AST均无明显影响.
Abstract
Objective To investigate the efficacy and clinical application of fluorescence laparoscopic guidance for gallbladder tri-angle identification in laparoscopic cholecystectomy(LC).Methods A total of 400 patients who underwent laparoscopic cholecystecto-my(LC)between January 2020 and December 2022 were randomly selected and divided according to the surgical protocol into an ob-servation group(identification of gallbladder triangle with fluorescent LC,200 patients)and a control group(conventional LC,200 pa-tients).Clinical effects were compared between the two groups.Results There was no significant difference in hospital stay,operation and extubation time,or intraoperative blood loss between the two groups(t=0.617,1.245,1.068,and 0.670,respectively;P>0.05).The levels of alanine and aspartate aminotransferase(ALT and AST)after operation were higher than those before operation in both groups(t=0.122,0.099;P<0.05);Postoperative ALT and AST levels were not statistically significant between the two groups(t=0.405,0.764;P>0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(x2=4.114,P＜0.05).Conclusions Fluoroscopic laparoscopic guidance in LC helps the operator to accurately identify the gallbladder triangle and elevate patient surgical safety,but fluoroscopic laparoscopy has no significant effect on LC surgical efficiency,intraopera-tive blood loss,extubating and hospital stay,alt,AST.
关键词
荧光腹腔镜/胆囊切除/胆囊三角识别/临床效果Key words
fluorescence laparoscopy/Cholecystectomy/Gallbladder triangle identification/Clinical effects引用本文复制引用
出版年
2024
NETL
NSTL
万方数据