Clinical Analysis of Application of The Cutting Closure Device in Laparoscopic Cholec-ystolithotomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZOUYu-feng , FENGZhi-qiang ,  ZHANGHong-yi , ZHAOGang , XUXin-bao , ZHAOEr-peng , LIXin-hui

Department of Hepatobiliary Surgery, Air Force General Hospital, Beijing 100142, China;

Corresponding author：

ZHANGHong-yi, Email: 15611161129@163.com

Keywords：

Laparoscopic cholecystolithotomy; Incision closure device; Clinical analysis

DOI：

10.7507/1007-9424.20160112

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the value of incision closure device in laparoscopic cholecystolithotomy. Methods The clinical data of 130 patients underwent laparoscopic cholecystectomy from Oct. 2014 to Feb. 2015 were retrospectively analyzed. According to the methods of gallbladder suture, 130 cases were divided into two groups, 72 cases underwent traditional manual suture (MS group), and 58 cases underwent incision closure device (ICD group). The operative time, postoperative gastrointestinal function recovery time, bleeding volume, postoperative hospitalization time, hospitalization expenses, complications, and postoperative 6-12 months follow-up of patients in 2 groups were observed.Results One hundred and thirty cases were performed laparoscopic cholecystolithotomy successfully. The operative time and postoperative gastrointestinal function recovery time of ICD group were significantly shorter than those of MS group, the difference was statistically significant (P < 0.05). The hospitalization expenses of the patients in ICD group were significantly higher than those in the MD group (P < 0.05). There were no significant difference between the two groups in the bleeding volume and postoperative hospital stay (P > 0.05). The patients were followed up for 6-12 months, with an average of 8 months, and no complications occurred and stone recurrence. Conclusion Incision closure device can shorten the time of laparoscopic cholecystolithotomy and postoperative recovery of gastrointestinal function, but the cost is higher. Next development, still need decrease the expend and strengthen clinical promotion.

Citation： ZOUYu-feng, FENGZhi-qiang, ZHANGHong-yi, ZHAOGang, XUXin-bao, ZHAOEr-peng, LIXin-hui. Clinical Analysis of Application of The Cutting Closure Device in Laparoscopic Cholec-ystolithotomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(4): 421-424. doi: 10.7507/1007-9424.20160112 Copy

1.	邹一平, 萧荫祺.保胆取石术有关问题的探讨.中华肝胆外科杂志, 2009, 15(1): 1-3.
2.	Festi D, Reggiani ML, Attili AF, et al. Natural history of gallstone disease: Expectant management or active treatment? Results from a population-based cohort study. J Gastroenterol Hepatol, 2010, 25(4): 719-724.
3.	张宝善.腹腔镜微创保胆取石新思维的讨论.腹腔镜外科杂志, 2009, 14(4): 241-243.
4.	张宝善.内镜微创保胆取石术治疗胆囊结石.中国内镜杂志, 2002, 8(7): 1-4.
5.	中国医师协会内镜医师分会行业公布内镜下微创保胆手术取石(息肉)技术规范胆囊结石微创保胆治疗规范.中国现代医学杂志, 2011, 21(34): 47-47.
6.	邱建平, 高泉根, 袁建毛, 等.腹腔镜联合胆道镜保胆取石术临床应用体会.中国内镜杂志, 2011, 17(10): 1109-1110.
7.	智绪亭.保胆取石术之我见.腹腔镜外科杂志, 2009, 14(1): 12-14.
8.	王坚, 王吴陆, 李可为.胆囊结石治疗策略的争论与选择:胆囊切除还是保胆取石.中国实用外科杂志, 2011, 31(1):44-46．.
9.	吴先麟, 张光全, 廖忠, 等.选择适应证保胆取石临床效果分析.四川医学, 2015, 36(6): 809-811.
10.	郑文建, 冯德元, 吴辉, 等.腹腔镜联合胆道镜保胆取石95例临床分析.中国普外基础与临床杂志, 2010, 17(10): 1021-1022.
11.	陈伟, 梁力建.胆囊功能的再认识.中国实用外科杂志, 2015, 35(9): 926-928.
12.	黄小强, 冯玉泉, 黄志强.腹腔镜胆囊切除术的并发症(附39 239例分析).中华外科杂志, 1997, 35(11): 654-656.
13.	王新安.腹腔镜胆囊切除术常见并发症的临床分析.中国卫生产业, 2014, 11(1): 100-100.
14.	王旭, 王翔翔, 唐彤, 等.内镜保胆取石术临床研究现状.中国普外基础与临床杂志, 2009, 16(9): 773-776.
15.	Leticia N, Freedman N D, Engels E A, et al. Gallstones, cholecystectomy, and risk of digestive system cancers. Am J Epidemiol, 2014, 179(6): 731-739.
16.	Zhang J, Prizment AE, Dhakal IB, et al. Cholecystectomy, gallstones, tonsillectomy, and pancreatic cancer risk: a population-based case-control study in Minnesota. British J Cancer, 2014, 110(9): 2348-2353.
17.	Emily V, Xiao-Ou S, Hong-Lan L, et al. Cholelithiasis and the risk of liver cancer: results from cohort studies of 134 546 Chinese men and women. J Epidemiol Community Health, 2014, 68(6): 565-570.
18.	李月廷.胆囊结石手术方式的百年进展.中华腔镜外科杂志:电子版, 2010, 3(1): 59-62.
19.	李全福, 葛长青, 张阳德, 等.腹腔镜辅助与小切口微创保胆手术的对照研究.腹腔镜外科杂志, 2011, 16(3): 205-207.
20.	何菁.腹腔镜手术中二氧化碳气腹对机体的影响.中国实用医药, 2009, 4(2): 226-228.
21.	Bergström BS. Camera trocar lifting in office gasless laparoscopic sterilization under local anesthesia. Acta Obstet Gynecol Scand, 2010, 89(7): 975-979.
22.	张勇, 冯宪光, 周敬强, 等.腹腔镜联合胆道镜实施保胆手术446例.山东医药, 2014, 54(7): 83-85.
23.	王瑞丰, 田伏洲, 陈理国, 等.腹腔镜下微创保胆取石术与胆囊切除术疗效对比.中国普外基础与临床杂志, 2012, 19(9):993-994.
24.	郭伟, 张忠涛.保胆取石术尚存争议的问题.中国实用外科杂志, 2015, 35(9): 923-925.
25.	张宝善, 刘京山.内镜微创保胆取石1 520例临床分析.中华普外科手术学杂志:电子版, 2009, 3(1): 39-41.
26.	朱宏亮, 陈范昶, 曾小明, 等.保胆取石, 取息肉325例临床分析.江西医药, 2011, 46(2): 101-103.

1. 邹一平, 萧荫祺.保胆取石术有关问题的探讨.中华肝胆外科杂志, 2009, 15(1): 1-3.
2. Festi D, Reggiani ML, Attili AF, et al. Natural history of gallstone disease: Expectant management or active treatment? Results from a population-based cohort study. J Gastroenterol Hepatol, 2010, 25(4): 719-724.
3. 张宝善.腹腔镜微创保胆取石新思维的讨论.腹腔镜外科杂志, 2009, 14(4): 241-243.
4. 张宝善.内镜微创保胆取石术治疗胆囊结石.中国内镜杂志, 2002, 8(7): 1-4.
5. 中国医师协会内镜医师分会行业公布内镜下微创保胆手术取石(息肉)技术规范胆囊结石微创保胆治疗规范.中国现代医学杂志, 2011, 21(34): 47-47.
6. 邱建平, 高泉根, 袁建毛, 等.腹腔镜联合胆道镜保胆取石术临床应用体会.中国内镜杂志, 2011, 17(10): 1109-1110.
7. 智绪亭.保胆取石术之我见.腹腔镜外科杂志, 2009, 14(1): 12-14.
8. 王坚, 王吴陆, 李可为.胆囊结石治疗策略的争论与选择:胆囊切除还是保胆取石.中国实用外科杂志, 2011, 31(1):44-46．.
9. 吴先麟, 张光全, 廖忠, 等.选择适应证保胆取石临床效果分析.四川医学, 2015, 36(6): 809-811.
10. 郑文建, 冯德元, 吴辉, 等.腹腔镜联合胆道镜保胆取石95例临床分析.中国普外基础与临床杂志, 2010, 17(10): 1021-1022.
11. 陈伟, 梁力建.胆囊功能的再认识.中国实用外科杂志, 2015, 35(9): 926-928.
12. 黄小强, 冯玉泉, 黄志强.腹腔镜胆囊切除术的并发症(附39 239例分析).中华外科杂志, 1997, 35(11): 654-656.
13. 王新安.腹腔镜胆囊切除术常见并发症的临床分析.中国卫生产业, 2014, 11(1): 100-100.
14. 王旭, 王翔翔, 唐彤, 等.内镜保胆取石术临床研究现状.中国普外基础与临床杂志, 2009, 16(9): 773-776.
15. Leticia N, Freedman N D, Engels E A, et al. Gallstones, cholecystectomy, and risk of digestive system cancers. Am J Epidemiol, 2014, 179(6): 731-739.
16. Zhang J, Prizment AE, Dhakal IB, et al. Cholecystectomy, gallstones, tonsillectomy, and pancreatic cancer risk: a population-based case-control study in Minnesota. British J Cancer, 2014, 110(9): 2348-2353.
17. Emily V, Xiao-Ou S, Hong-Lan L, et al. Cholelithiasis and the risk of liver cancer: results from cohort studies of 134 546 Chinese men and women. J Epidemiol Community Health, 2014, 68(6): 565-570.
18. 李月廷.胆囊结石手术方式的百年进展.中华腔镜外科杂志:电子版, 2010, 3(1): 59-62.
19. 李全福, 葛长青, 张阳德, 等.腹腔镜辅助与小切口微创保胆手术的对照研究.腹腔镜外科杂志, 2011, 16(3): 205-207.
20. 何菁.腹腔镜手术中二氧化碳气腹对机体的影响.中国实用医药, 2009, 4(2): 226-228.
21. Bergström BS. Camera trocar lifting in office gasless laparoscopic sterilization under local anesthesia. Acta Obstet Gynecol Scand, 2010, 89(7): 975-979.
22. 张勇, 冯宪光, 周敬强, 等.腹腔镜联合胆道镜实施保胆手术446例.山东医药, 2014, 54(7): 83-85.
23. 王瑞丰, 田伏洲, 陈理国, 等.腹腔镜下微创保胆取石术与胆囊切除术疗效对比.中国普外基础与临床杂志, 2012, 19(9):993-994.
24. 郭伟, 张忠涛.保胆取石术尚存争议的问题.中国实用外科杂志, 2015, 35(9): 923-925.
25. 张宝善, 刘京山.内镜微创保胆取石1 520例临床分析.中华普外科手术学杂志:电子版, 2009, 3(1): 39-41.
26. 朱宏亮, 陈范昶, 曾小明, 等.保胆取石, 取息肉325例临床分析.江西医药, 2011, 46(2): 101-103.

Previous Article
单孔胸腔镜右肺上叶袖式切除术两例
Next Article
The Role of Preoperative Evaluation of Serum Tumor Markers in Gastric Cancer

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Analysis of Application of The Cutting Closure Device in Laparoscopic Cholec-ystolithotomy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content