Rouviere沟引导定位与传统定位腹腔镜胆囊切除术的比较研究

doi:10.3969/j.issn.1671-7171.2017.01.017

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Abstract 【Objective】To analyze the effect of Rouviere groove guided positioning and conventional positioning in laparoscopic cholecystectomy.【Methods】One hundred and eight cases of laparoscopic cholecystectomy in our hospital from April 2015 to April 2016 were randomly divided into control group and observation group, each group of 54 cases.The control group underwent traditional positioning, the observation group received Rouviere groove guided positioning. Liver function like the total bilirubin (TBIL) ,the aspartate aminotransferase (AST), the alanine aminotransferase (ALT), the operation time and complication rate of the two groups were compared after treatment. 【Results】There was no significant difference in TBIL, AST and ALT between two groups before operation (P>0.05); After cholecystectomy, the serum TBIL, AST, ALT levels in the two groups were higher than those before operative , the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). The operation time of the control group (67.54 ± 7.42) min was significantly higher than that of the observation group (47.38±5.69)min, the difference was statistically significant (P<0.05). There were 4 cases of bile leakage and bile duct injury in the control group, the complication rate was 14.82% (8/54); The observation group had 2 cases of bile leakage, the incidence of complications was 3.70% (2/54), the difference between the two groups was statistically significant (P<0.05).【Conclusion】The clinical effect of Rouviere groove guided positioning in laparoscopic cholecystectomy is superior to the conventional positioning operation.

Key words： Cholecystectomy, Laparoscopic Bile Ducts/IN Postoperative Complications Comparative Study

Received: 01 November 2016

PACS:

R657.4

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	HU Jian-ping
	MAO An-rong
	XIN Hai-bei
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Cite this article:

HU Jian-ping,MAO An-rong,XIN Hai-bei, et al. Comparative Analysis of the Effect of Rouviere Groove Guided Positioning and the Conventional Positioning in Laparoscopic Cholecystectomy[J]. JOURNAL OF CLINICAL RESEARCH, 2017, 34(1): 51-53.

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2017.01.017 OR http://www.jcr.net.cn/EN/Y2017/V34/I1/51