Laparoscopic versus open hepatectomy in the treatment of recurrent hepatobiliary stones / 中华普通外科杂志
Chinese Journal of General Surgery
;
(12): 421-424, 2017.
Artigo
em Chinês
| WPRIM
| ID: wpr-618753
ABSTRACT
Objective To compare laparoscopic hepatectomy to open surgery in recurrent hepatolithiasis.Methods From Jan 2014 to Feb 2016,106 cases of recurrent hepatolithiasis eligible for hepatectomy were prospectively randomized into laparoscopic group (53cases) and open group (53 cases).The perioperative variables,postoperative morbidity and outcomes were analyzed and compared between the 2 groups.Results The statistical results show that the laparoscopic group and open group had similar intraoperative rate of blood loss >400 ml,wound infection,abdominal infection,Grade B bile leakage,score of Clavien classification system,stone clearance rate and hospitalization cost (P > 0.05).The laparoscopy group had longer operation time (P < 0.05),and shorter postoperative hospital stay (P <0.05).Binary logistic analysis showed that decreased preoperative platelet count,longer operation time,and hepatectomy in difficult places are risk factors for intraoperative blood loss > 400 ml (OR > 1,P <0.05);type of past biliary tract operation,positive bile culture during surgery and residual stones are risk factors for grade B bile leakage (OR > 1,P < 0.05).Conclusions Laparoscopic hepatectomy for recurrent hepatolithiasis is safe and feasible.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Tipo de estudo:
Ensaio Clínico Controlado
/
Fatores de risco
Idioma:
Chinês
Revista:
Chinese Journal of General Surgery
Ano de publicação:
2017
Tipo de documento:
Artigo
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