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：

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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.	鄒一平, 蕭蔭祺.保膽取石術有關問題的探討.中華肝膽外科雜志, 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.	張寶善.腹腔鏡微創保膽取石新思維的討論.腹腔鏡外科雜志, 2009, 14(4): 241-243.
4.	張寶善.內鏡微創保膽取石術治療膽囊結石.中國內鏡雜志, 2002, 8(7): 1-4.
5.	中國醫師協會內鏡醫師分會行業公布內鏡下微創保膽手術取石(息肉)技術規范膽囊結石微創保膽治療規范.中國現代醫學雜志, 2011, 21(34): 47-47.
6.	邱建平, 高泉根, 袁建毛, 等.腹腔鏡聯合膽道鏡保膽取石術臨床應用體會.中國內鏡雜志, 2011, 17(10): 1109-1110.
7.	智緒亭.保膽取石術之我見.腹腔鏡外科雜志, 2009, 14(1): 12-14.
8.	王堅, 王吳陸, 李可為.膽囊結石治療策略的爭論與選擇:膽囊切除還是保膽取石.中國實用外科雜志, 2011, 31(1):44-46．.
9.	吳先麟, 張光全, 廖忠, 等.選擇適應證保膽取石臨床效果分析.四川醫學, 2015, 36(6): 809-811.
10.	鄭文建, 馮德元, 吳輝, 等.腹腔鏡聯合膽道鏡保膽取石95例臨床分析.中國普外基礎與臨床雜志, 2010, 17(10): 1021-1022.
11.	陳偉, 梁力建.膽囊功能的再認識.中國實用外科雜志, 2015, 35(9): 926-928.
12.	黃小強, 馮玉泉, 黃志強.腹腔鏡膽囊切除術的并發癥(附39 239例分析).中華外科雜志, 1997, 35(11): 654-656.
13.	王新安.腹腔鏡膽囊切除術常見并發癥的臨床分析.中國衛生產業, 2014, 11(1): 100-100.
14.	王旭, 王翔翔, 唐彤, 等.內鏡保膽取石術臨床研究現狀.中國普外基礎與臨床雜志, 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.膽囊結石手術方式的百年進展.中華腔鏡外科雜志:電子版, 2010, 3(1): 59-62.
19.	李全福, 葛長青, 張陽德, 等.腹腔鏡輔助與小切口微創保膽手術的對照研究.腹腔鏡外科雜志, 2011, 16(3): 205-207.
20.	何菁.腹腔鏡手術中二氧化碳氣腹對機體的影響.中國實用醫藥, 2009, 4(2): 226-228.
21.	Bergstr?m BS. Camera trocar lifting in office gasless laparoscopic sterilization under local anesthesia. Acta Obstet Gynecol Scand, 2010, 89(7): 975-979.
22.	張勇, 馮憲光, 周敬強, 等.腹腔鏡聯合膽道鏡實施保膽手術446例.山東醫藥, 2014, 54(7): 83-85.
23.	王瑞豐, 田伏洲, 陳理國, 等.腹腔鏡下微創保膽取石術與膽囊切除術療效對比.中國普外基礎與臨床雜志, 2012, 19(9):993-994.
24.	郭偉, 張忠濤.保膽取石術尚存爭議的問題.中國實用外科雜志, 2015, 35(9): 923-925.
25.	張寶善, 劉京山.內鏡微創保膽取石1 520例臨床分析.中華普外科手術學雜志:電子版, 2009, 3(1): 39-41.
26.	朱宏亮, 陳范昶, 曾小明, 等.保膽取石, 取息肉325例臨床分析.江西醫藥, 2011, 46(2): 101-103.

1. 鄒一平, 蕭蔭祺.保膽取石術有關問題的探討.中華肝膽外科雜志, 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. 張寶善.腹腔鏡微創保膽取石新思維的討論.腹腔鏡外科雜志, 2009, 14(4): 241-243.
4. 張寶善.內鏡微創保膽取石術治療膽囊結石.中國內鏡雜志, 2002, 8(7): 1-4.
5. 中國醫師協會內鏡醫師分會行業公布內鏡下微創保膽手術取石(息肉)技術規范膽囊結石微創保膽治療規范.中國現代醫學雜志, 2011, 21(34): 47-47.
6. 邱建平, 高泉根, 袁建毛, 等.腹腔鏡聯合膽道鏡保膽取石術臨床應用體會.中國內鏡雜志, 2011, 17(10): 1109-1110.
7. 智緒亭.保膽取石術之我見.腹腔鏡外科雜志, 2009, 14(1): 12-14.
8. 王堅, 王吳陸, 李可為.膽囊結石治療策略的爭論與選擇:膽囊切除還是保膽取石.中國實用外科雜志, 2011, 31(1):44-46．.
9. 吳先麟, 張光全, 廖忠, 等.選擇適應證保膽取石臨床效果分析.四川醫學, 2015, 36(6): 809-811.
10. 鄭文建, 馮德元, 吳輝, 等.腹腔鏡聯合膽道鏡保膽取石95例臨床分析.中國普外基礎與臨床雜志, 2010, 17(10): 1021-1022.
11. 陳偉, 梁力建.膽囊功能的再認識.中國實用外科雜志, 2015, 35(9): 926-928.
12. 黃小強, 馮玉泉, 黃志強.腹腔鏡膽囊切除術的并發癥(附39 239例分析).中華外科雜志, 1997, 35(11): 654-656.
13. 王新安.腹腔鏡膽囊切除術常見并發癥的臨床分析.中國衛生產業, 2014, 11(1): 100-100.
14. 王旭, 王翔翔, 唐彤, 等.內鏡保膽取石術臨床研究現狀.中國普外基礎與臨床雜志, 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.膽囊結石手術方式的百年進展.中華腔鏡外科雜志:電子版, 2010, 3(1): 59-62.
19. 李全福, 葛長青, 張陽德, 等.腹腔鏡輔助與小切口微創保膽手術的對照研究.腹腔鏡外科雜志, 2011, 16(3): 205-207.
20. 何菁.腹腔鏡手術中二氧化碳氣腹對機體的影響.中國實用醫藥, 2009, 4(2): 226-228.
21. Bergstr?m BS. Camera trocar lifting in office gasless laparoscopic sterilization under local anesthesia. Acta Obstet Gynecol Scand, 2010, 89(7): 975-979.
22. 張勇, 馮憲光, 周敬強, 等.腹腔鏡聯合膽道鏡實施保膽手術446例.山東醫藥, 2014, 54(7): 83-85.
23. 王瑞豐, 田伏洲, 陳理國, 等.腹腔鏡下微創保膽取石術與膽囊切除術療效對比.中國普外基礎與臨床雜志, 2012, 19(9):993-994.
24. 郭偉, 張忠濤.保膽取石術尚存爭議的問題.中國實用外科雜志, 2015, 35(9): 923-925.
25. 張寶善, 劉京山.內鏡微創保膽取石1 520例臨床分析.中華普外科手術學雜志:電子版, 2009, 3(1): 39-41.
26. 朱宏亮, 陳范昶, 曾小明, 等.保膽取石, 取息肉325例臨床分析.江西醫藥, 2011, 46(2): 101-103.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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

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