The Clinical Value of Combined Laparoscopic Cholecystectomy for General and Gynecologic Surgery_West China Medical Journal

Authors：

 CHENTing-hao ¹ ,  YANGYuan-li ²

1. Department of General Surgery;the First People's Hospital of Ziyang City, Ziyang, Sichuan 641300, P. R. China;
2. Department of Gynecology and Obstetrics;the First People's Hospital of Ziyang City, Ziyang, Sichuan 641300, P. R. China;

Corresponding?author：

YANGYuan-li, Email: 399244575@qq.com

Keywords：

Laparoscopic surgery; Cholecystectomy; Gynecological surgery

DOI：

10.7507/1002-0179.20140677

Video：

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Objective To investigate the feasibility and advantages of general laparoscopic cholecystectomy and gynecologic uterus and attachment surgery at the same time. Methods Sixty patients with gallbladder stones combined with ovarian cysts, benign gynecological disease or fallopian tube adhesions aged between 35 and 55 were chosen from the department of General Surgery and Gynecology and Obstetrics to be the study subjects between January 2009 and December 2013. The inclusion criteria included: gallbladder stones; gallbladder wall thickness <0.5 cm; non-acute inflammation; symptomatic gynecological diseases; and tumor size between 5.0 and 10.0 cm. Based on similar age, body mass, and histological type, the patients were divided into laparoscopic surgery (GLS) group and staging surgery group (control group) according to the will of the patients. The anesthesia time, surgery time, the number of abdominal perforations, length of hospital stay, and total costs were detected for comparison between the two groups. Results The first-time operation was successful in all the patients in the CLS group, with two cases of abnormal liver function, which were cured within 5-6 days. In the control group, 2 cases of reoperation were transferred to laparotomy due to umbilical and peritoneal adhesions, and both of them were cured and discharged from hospital without incision infection or iatrogenic tissue and organ damage. CLS group had significant advantages in anesthesia time, surgery time, the number of abdominal perforations, length of hospital stay, and total costs over the control group (P<0.05). Conclusion The combined gynecologic laparoscopic surgery is feasible, safe, mini-invasive, and economical.

Citation： CHENTing-hao, YANGYuan-li. The Clinical Value of Combined Laparoscopic Cholecystectomy for General and Gynecologic Surgery. West China Medical Journal, 2014, 29(12): 2239-2241. doi: 10.7507/1002-0179.20140677 Copy

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1. 陳訓如, 田伏洲, 黃大熔. 微創膽道外科手術學[M]. 北京:軍事醫學科學出版社, 2000:275-289.
2. 王秋生, 鄧紹慶, 李恩寬, 等. 腹腔鏡聯合手術[J]. 中華外科雜志, 1997(2):21-25.
3. 鄭成竹, 胡旭光. 腹腔鏡聯合手術[J]. 中國實用外科雜志, 2005, 25(8):453-454.
4. 王芬, 陳倫牮. 腹腔鏡婦科外科聯合手術在新疆地區的臨床應用[J]. 腹腔鏡外科雜志, 2010, 15(6):472-473.
5. 梅衛國, 王琦, 胡斌, 等. 腹腔鏡聯合手術31例診治體會[J]. 肝膽外科雜志, 2012, 20(5):381-383.
6. 崇復生, 王巖, 王晶, 等. 腹腔鏡多器官聯合手術283例報告[J]. 腹腔鏡外科雜志, 2012, 17(7):553-555.
7. 黃志強. 信息科學時代的外科:任務與挑戰[J]. 中華實驗外科雜志, 2006, 23(1):5-8.
8. Vittiberga FJ, Foley DP, Meyers WC, et al. Laparoscopic surgery and the systemic immune respones[J]. Ann Surg, 1998, 227(3):326-334.
9. 黃志強. 微創時代外科醫生的成長與挑戰[J]. 中華消化外科雜志, 2009, 8(1):1-3.
10. 崔昱春, 孟利偉, 童波, 等. 腹腔鏡在腹部多臟器聯合手術中的應用[J]. 中國內鏡雜志, 2006, 12(6):632-634.
11. 張濤, 王強, 游海波, 等. 三孔法在腹腔鏡膽囊切除加闌尾切除聯合手術中的體會[J]. 重慶醫學, 2008, 37(15):1671-1672.
12. 祖存, 魯進忠, 唐浩, 等. 三孔法腹腔鏡膽囊、闌尾聯合切除術67例報告[J]. 腹腔鏡外科雜志, 2012, 17(12):933-934.
13. 沈潔, 張衛中, 謝覺醒. 腹腔鏡膽囊切除術前后血清轉氨酶的變化[J]. 現代實用醫學, 2005, 17(5):280-281.
14. 張艷斌, 梁朝朝. 腹腔鏡手術對機體應激反應的影響[J]. 安徽醫學, 2009, 30(3):343-344.
15. 劉彩云, 王長友, 畢敬濤. 腹腔鏡膽囊切除術對機體氧化應激的影響[J]. 中國綜合臨床, 2006, 22(2):158-159.
16. 李鋒, 黃順榮. 腹腔鏡二氧化碳氣腹對呼吸循環功能的影響[J]. 現代醫藥衛生, 2007, 23(21):3237-3238.
17. 許艷淑, 陳琦. 腹腔鏡手術氣腹和不同體位對呼吸循環的影響[J]. 中國內鏡雜志, 2009, 15(8):862-864.
18. 易石堅, 丘敏梅, 鐘德玝, 等. 腹腔鏡多臟器聯合手術的臨床研究[J]. 中國醫學工程, 2007, 15(12):972-975.
19. 方秀鳳, 王世紅. 婦科腹腔鏡術圍手術期護理[J]. 現代醫藥衛生, 2007, 23(14):2174.
20. 王國珠, 張國啟. 腹腔鏡膽囊與子宮聯合手術后的處理[J]. 現代醫藥衛生, 2008, 24(3):436-437.

West China Medical Journal

The Clinical Value of Combined Laparoscopic Cholecystectomy for General and Gynecologic Surgery

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