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. 陈训如, 田伏洲, 黄大熔. 微创胆道外科手术学[M]. 北京:军事医学科学出版社, 2000:275-289.
2. 王秋生, 邓绍庆, 李恩宽, 等. 腹腔镜联合手术[J]. 中华外科杂志, 1997(2):21-25.
3. 郑成竹, 胡旭光. 腹腔镜联合手术[J]. 中国实用外科杂志, 2005, 25(8):453-454.
4. 王芬, 陈伦牮. 腹腔镜妇科外科联合手术在新疆地区的临床应用[J]. 腹腔镜外科杂志, 2010, 15(6):472-473.
5. 梅卫国, 王琦, 胡斌, 等. 腹腔镜联合手术31例诊治体会[J]. 肝胆外科杂志, 2012, 20(5):381-383.
6. 崇复生, 王岩, 王晶, 等. 腹腔镜多器官联合手术283例报告[J]. 腹腔镜外科杂志, 2012, 17(7):553-555.
7. 黄志强. 信息科学时代的外科:任务与挑战[J]. 中华实验外科杂志, 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. 黄志强. 微创时代外科医生的成长与挑战[J]. 中华消化外科杂志, 2009, 8(1):1-3.
10. 崔昱春, 孟利伟, 童波, 等. 腹腔镜在腹部多脏器联合手术中的应用[J]. 中国内镜杂志, 2006, 12(6):632-634.
11. 张涛, 王强, 游海波, 等. 三孔法在腹腔镜胆囊切除加阑尾切除联合手术中的体会[J]. 重庆医学, 2008, 37(15):1671-1672.
12. 祖存, 鲁进忠, 唐浩, 等. 三孔法腹腔镜胆囊、阑尾联合切除术67例报告[J]. 腹腔镜外科杂志, 2012, 17(12):933-934.
13. 沈洁, 张卫中, 谢觉醒. 腹腔镜胆囊切除术前后血清转氨酶的变化[J]. 现代实用医学, 2005, 17(5):280-281.
14. 张艳斌, 梁朝朝. 腹腔镜手术对机体应激反应的影响[J]. 安徽医学, 2009, 30(3):343-344.
15. 刘彩云, 王长友, 毕敬涛. 腹腔镜胆囊切除术对机体氧化应激的影响[J]. 中国综合临床, 2006, 22(2):158-159.
16. 李锋, 黄顺荣. 腹腔镜二氧化碳气腹对呼吸循环功能的影响[J]. 现代医药卫生, 2007, 23(21):3237-3238.
17. 许艳淑, 陈琦. 腹腔镜手术气腹和不同体位对呼吸循环的影响[J]. 中国内镜杂志, 2009, 15(8):862-864.
18. 易石坚, 丘敏梅, 钟德玝, 等. 腹腔镜多脏器联合手术的临床研究[J]. 中国医学工程, 2007, 15(12):972-975.
19. 方秀凤, 王世红. 妇科腹腔镜术围手术期护理[J]. 现代医药卫生, 2007, 23(14):2174.
20. 王国珠, 张国启. 腹腔镜胆囊与子宫联合手术后的处理[J]. 现代医药卫生, 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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