摘要
目的探讨有上腹部手术史患者再次行腹腔镜胆囊切除术(LC)的可行性及临床疗效。方法对2000年1月￣2004年7月间施行的有上腹部手术史的48例LC病例(A组)进行回顾分析,并随机选择同期进行的无上腹部手术史的100例LC病例(B组)进行对比。结果A组有2例中转开腹(中转率为4%),B组有1例中转开腹(中转率为1%);平均手术时间:A组(68.6±15.7)min,B组(38.6±5.4)min,P<0.01;平均住院天数:A组(5.12±0.61)d,B组(4.96±0.48)d,P>0.05。两组病例均无手术并发症。结论对有上腹部手术史的胆囊病变,LC是安全、有效的,仍可作为首选的治疗方法。
To investigate the probability of laparoscopic cholecystectomy on patients with surgical history of upper abdomen. Laparoscopic cholecystectomy in 48 patients with surgical history of upper abdomen(group A) and 100 patients no abdominal operation(group B) from January 2000 to july 2004 were analysed. Two cases were changed to laparotomy (4%) in group A, one case was changed to laparotomy(1%) in group B.The average time for operating were (68.6±15.7) min in group A and (38.6±5.4) min in group B, P<0.01. The average hospitalization time was (5.12±0.61) d in group A and (4.96±0.48) d in group B, P >0.05. All patients recovered without any complication. [Conclusions] Laparoscopic cholecystectomy is safe and effective method to the patients with surgical history of upper abdomen,it may be the first selective therapy for these patients.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第3期285-287,共3页
China Journal of Endoscopy
