急性胆囊炎腹腔镜胆囊切除术53例临床分析

伊正辉; 王达庆; 常迎彬

急性胆囊炎腹腔镜胆囊切除术53例临床分析

民航总医院

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中图分类号: R657.41
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出版历程
- 出版日期: 2013-03-20

Surgical experience of laparoscopic cholecystectomy in 53 cases of acute cholecystitis

摘要

摘要:
目的探讨急性胆囊炎行腹腔镜胆囊切除术(LC)的手术技巧。方法急性胆囊炎行LC 53例,中转开腹3例。回顾53例LC操作经验并进行总结分析。结果 50例LC手术成功,手术时间30～180 min,平均79 min,术中出血5～200 ml,平均住院6.5d(3～16 d)。结论急性胆囊炎首选LC。腹腔镜下顺行切除胆囊更加安全、快捷。
- 胆囊炎,急性 /
- 胆囊切除术,腹腔镜
Abstract:
Objective To summarize the operative parameters an experience for laparoscopic cholecystectomy (LC) in acute cholecystitis.Methods Fifty-three cases of laparoscopic antegrade resection of the gallbladder, which was performed to treat acute cholecystitis, were retrospectively reviewed.Results Fifty of the LC operations were completed successfully, and three patients necessitated transition to the open cholecystectomy procedure.For the 50 LC operations, the surgical time ranged from 30-180 min (average: 79 min) and the blood loss ranged from 5-200 ml.There were no cases of postoperative bleeding, subphrenic effusion, or abdominal infection following the LC operation.The length of hospital stay following the LC operation ranged from 3-16 days (average: 6.5 days) .All 50 cases were cured by the LC.Conclusion LC is the preferred surgical strategy for patients with acute cholecystitis.The LC procedure is safe, fast, and efficacious.
- cholecystitis /
- acute

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参考文献(6)

[1]González-Rodríguez, Paredes-Cotoré, Ponton C, et al.Early or de-layed laparoscopic cholecystectomy in JP acute cholecystitis?Conclu-sions of a controlled trial[J].Hepatogastroenterology, 2009, 56 (89) :11-16.

[2]Gurusamy K, Samraj K, Gluud C, et al.Meta-analysis of randomizedcontrolled trials on the safety and effectiveness of early versus delayedlaparoscopic cholecystectomy for acute cholecystitis[J].Br J of Surg, 2010, 97 (2) :141-150.

[3]Catani M, De Milito R, Romagnoli F.Emergency laparoscopiccholecystectomy in the treatment of acute cholecystitis:when andhow?[J].Chir Ital, 2009, 61 (4) :435-447.

[4]Engin O, Yildirim M, Cengiz F, et al.Laparoscopic anterogradecholecystectomy in acute cholecystitis[J].J Clin Med Res, 2009, 1 (3) :186-187.

[5]Khanday M, Mushtaque M, Mehta KS.Laparoscopic cholecystecto-my in acute cholecystitis-experience from a single centre[J].Int JSurg, 2011, 27 (2) :1-5.

[6]Wang QS.Mechanism and prevention for complications of laparo-scopic cholecystectomy[J].J Clin Hepatol, 2012, 28 (1) :11-13. (in Chinese) 王秋生.腹腔镜胆囊切除术并发症的发生机制与预防对策[J].临床肝胆病杂志, 2012, 28 (1) :11-13.

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