Efficacy of laparoscopic operation in treating type Ⅲ child biliary atresia and its influence on postoperative infection
10.3969/j.issn.1671-8348.2014.26.006
- VernacularTitle:腹腔镜手术对Ⅲ型胆道闭锁患儿疗效及术后感染的影响
- Author:
Xiaobin CHI
;
Guangming CHEN
- Publication Type:Journal Article
- Keywords:
laparoscopes;
biliary atresia;
surgical wound infection
- From:
Chongqing Medicine
2014;(26):3424-3426
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of laparoscopic operation in treating type Ⅲ child biliary atresia and its influence on postoperative infections .Methods 85 children cases of type Ⅲ biliary atresia were randomly divided into the conventional sur-gery group(OP group ,n=42) and the laparoscopic surgery group(LP group ,n=43) .The operation situation ,postoperative changes of inflammatory factors ,changes of liver function indexes before and after operation and postoperative infection were compared be-tween the two groups .Results The operative time of the LP group was longer than that of the OP group (P<0 .05) ,the intraoper-ative blood loss and the VAS scores of the LP group were less than those of OP group (P<0 .05) ,the postoperative eating recovery time of the LP group was earlier than that of the OP group (P<0 .05) ,the length of hospital stay of the LP group was shorter than that of the OP group(P<0 .05) and the postoperative infection rate of the LP group was lower than that of the OP group (P<0 . 05) .The liver function indexes recovery showed no statistically significant differences before and in postoperative 1 ,3 ,6 ,12 months between the two groups(P>0 .05) .Conclusion The laparoscopic operation and the conventional operation in treating type Ⅲ child biliary atresia have their own advantages and disadvantages .The appropriate operation mode should be selected according to the children′s actual situation .
