Total laparoscopic surgery vs open surgery in the treatment of gallbladder carcinoma

VernacularTitle:完全腹腔镜手术与开放性手术治疗胆囊癌的临床效果比较
Author: Cheng ZHANG ¹ ; Lin AN ; Dongjun AN ; Yang WANG ; Lin YANG ; Jintao WANG ; Li HAN ; Baoguo ZHAO
Author Information

1. 西安交通大学医学部附属咸阳市中心医院肝胆外科
Keywords: Gallbladder neoplasms; Laparoscopes; Surgical procedures,operative
From: Chinese Journal of General Surgery 2018;33(8):653-657
CountryChina
Language:Chinese
Abstract: Objective To investigate the therapeutic effect of total laparoscopic vs open surgery for gallbladder carcinoma.Methods Clinical data of 51 cases of laparoscopic surgery and 41 cases of open operation for gallbladder cancer from Mar 2012 to Dec 2016 were analyzed retrospectively.Results There were no perioperative death in both groups.The blood loss during operation,operative time,the first anal exhaust after operation and the hospital stay were in favour of laparoscopic procedure (t =2.756,2.325,1.362,2.252,P ＜ 0.05).There was no significant difference in total hospitalization expenses (t =0.655,P ＞ 0.05),the short-term postoperative complications were in favor for laparoscopic surgery (x2 =5.522,P ＜ 0.05).The 1,3,5-year survival rates of laparoscopic group and laparotomy group were comparable (x2 =0.356,0.428,0.388,P ＞0.05).Conclusion Laparoscopic radical surgery for gallbladder cancer is safe,feasible and less traumatic than open surgery,with long term survival comparable to open surgery.