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目的比较胆囊癌腹腔镜胆囊切除术与胆囊癌根治术的临床疗效差异。方法将80例胆囊癌患者随机分为研究组和对照组各40例。对照组采用胆囊癌根治术,研究组采用腹腔镜胆囊切除术治疗。比较2组患者术后3年内生存率、围手术期指标和术后并发症发生率。结果研究组术后生存率与对照组无统计学差异(P>0.05),但术中指标和术后恢复情况优于对照组(P<0.01),后并发症发生率显著低于对照组,差异均有统计学意义(P<0.01)。结论胆囊癌腹腔镜胆囊切除术临床疗效确切,术中损伤小术后恢复快、术后并发症少,具有临床应用价值。
Objective To compare the clinical efficacy of laparoscopic cholecystectomy and gallbladder carcinoma in the treatment of gallbladder cancer. Methods 80 cases of gallbladder cancer were randomly divided into study group and control group of 40 cases. The control group was treated with radical gallbladder carcinoma and the study group was treated with laparoscopic cholecystectomy. The 3-year survival rate, perioperative index and postoperative complication rate were compared between the two groups. Results The postoperative survival rate of the study group was not significantly different from that of the control group (P> 0.05), but the intraoperative indexes and postoperative recovery were better than those of the control group (P <0.01). The incidence of postoperative complications was significantly lower than that of the control group The differences were statistically significant (P <0.01). Conclusions Laparoscopic cholecystectomy of gallbladder carcinoma is effective in clinical curative effect. The small intraoperative and postoperative recovery is quick and postoperative complications are fewer, which has clinical value.