摘要
目的探讨腹腔镜胆囊切除术(LC)在急性胆囊炎治疗中的应用。方法回顾性分析56例急性胆囊炎LC临床资料。结果急性胆囊炎56例,其中单纯急性胆囊炎29例,结石嵌顿11例,化脓性胆囊炎9例,粘膜坏疽6例,胆囊穿孔1例。56例均行LC,54例手术成功,2例中转开腹。手术时间25～210 min,并发症1例。全组无胆管损伤、胆漏、腹腔出血等严重并发症,无死亡病例,平均住院7.2 d。结论LC治疗急性胆囊炎效果满意,并发症少,但应正确掌握手术适应证,术中熟练运用各种操作技巧。
Objective To explore the significance of laparoscopic cholecystectomy in treatment of patients with acute cholecystitis. Methods A retrospective analysis on clinical data of laparoscopic cholecystectomy in treatment of acute cholecystitis had been carried out. Results Among 56 cases of acute cholecystitis, 29 cases suffered from simple acute cholecystitis, 11 cases of incarceration of calculi, 9 cases of suppurative eholecystitis, and 6 cases of mucosal necrosis, gallbladder perforation was seen in 1 case, and transitional laparotomy was taken in 2 cases. Operative time was 25 - 210 min. Complications were occurred in 1 case. There was no bile duct damage, bile leakage, intra - abdominal bleeding and other serious complications occurred, and no death happened in patients of this series. The average hospitalization period was 7.2 d. Conclusion The results of LC in treatment of acute cholecystitis were satisfactory with few complications, but it should correctly grasp the surgical indications, intraoperative techniques and familiarity with using a variety of operational procedures.
出处
《临床和实验医学杂志》
2009年第12期55-56,共2页
Journal of Clinical and Experimental Medicine
关键词
腹腔镜
胆囊切除术
急性胆囊炎
Laparoscopy
Chotecystectomy
Acute cholecystitis
