Treatment of intraperitoneal bladder rupture:a comparative study between laparoscopic and open surgery
10.3969/j.issn.1005-6483.2014.11.008
- VernacularTitle:腹腔镜与开放手术治疗腹膜内型膀胱破裂的疗效比较
- Author:
Wei ZHU
;
Qingguo ZHU
;
Fuqing ZENG
- Publication Type:Journal Article
- Keywords:
intraperitoneal bladder rupture;
laparoscopy;
open surgery
- From:
Journal of Clinical Surgery
2014;(11):810-811,845
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of laparoscopic surgery and open surgery for intraperitoneal bladder rupture.Methods From January 2004 to August 2013,the clinical data and therapeutic methods of 50 patients with intraperitoneal bladder rupture were retrospectively reviewed,inclu-ding 26 cases of laparoscopic surgery and 24 cases of open surgery.The operative time,intraoperative blood loss,postoperative intestinal recovery,hospital stay,analgesic use rate and complication ratio were com-pared between the two groups.Results All surgeries were successfully performed.There were significant differences in intraoperative blood loss [(54.24 ±5.38)ml vs(89.35 ±12.17)ml],intestinal recovery time [(23.24 ±2.39)h vs(38.42 ±6.98)h],hospital stay [(4.64 ±1.42)d vs(7.04 ±1.29)d]and analgesic use rate [38.64%(10 /26)vs 75.00%(18 /24)]between laparoscopy group and open surgery group,respectively(P <0.05 ).No significant differences in operative time [(56.12 ±8.53 )min vs (64.48 ±13.21)min]and incidence of postoperative complication [7.69%(2 /26)vs 8.33%(2 /24)] were observed between laparoscopy group and open surgery group,respectively(P >0.05).Conclusion Laparoscopic treatment of intraperitoneal bladder rupture has the advantages of mini-invasion and rapid re-covery compared with traditional open surgery.
