腹腔镜外科杂志2011，Vol.16Issue(12)：934-936,3.
腹腔镜胆囊切除术在急性胆囊炎中的应用
Application of laparoscopic cholecystectomy in the treatment of acute cholecystitis
傅文禕 1陈胜 1马君俊 1吴卫泽1
作者信息
- 1. 上海交通大学医学院附属瑞金医院,上海,200025
- 折叠
摘要
Abstract
Objective; To discuss the value of laparoscopic cholecystectomy (LC) in the treatment of acute cholecystitis. Methods:The clinical data of 18 patients with acute cholecystitis underwent LC were retrospectively analyzed. All the operations were performed within 72 hours after onset, all patients suffered with a fever over 38. 0℃, without history of jaundice and the upper abdomen operation. All patients were operated on within 3 hours after admission. Results:Of the 18 cases,LC was completed successfully in 17,including 6 cases of gallbladder gangrenes, 10 cases of impacted stones in gallbladder neck,2 cases of gallbladder perforation. Only 1 case was converted to open surgery because of a Mirizzi syndrome. The mean time was 40 min (25-95 min). The average postoperative hospi-talization was 3 days. Conclusions: LC is safe and effective for acute cholecystitis especial in 72 after onset. LC has advantage of shorter hospitalization, better recovery, no surgery-related complications such as pain and infection of the wound. It should be popularized in the treatment of acute cholecystitis since it has been widely performed, especially benefiting patients accompanied by medical disorders and those who have a huge risk of anesthesia in open surgery.关键词
急性胆囊炎/胆囊切除术,腹腔镜/病例报告Key words
Acute cholecystitis/Cholecystectomy,laparoscopic/Case reports分类
医药卫生引用本文复制引用
傅文禕,陈胜,马君俊,吴卫泽..腹腔镜胆囊切除术在急性胆囊炎中的应用[J].腹腔镜外科杂志,2011,16(12):934-936,3.
