摘要
Abstract
Objective To explore the opportunity of laparoscopic cholecystectomy (LC) in patients with acute calculous cholecystitis. Methods The data of 397 cases of acute calculous cholecystitis, admitted from January 2008 to June 2010 were retrospectively analyzed. According to the intervals which between invasion and operation, all 397 patients were divided into 3 groups; 165 cases of group A (within 72 h) , 101 cases of group B (72h ~2 w) and 131 cases of group C ( beyond 2 w) . The operative time, intraoperative blood loss, rate of conversion to open cholecystectomy, postoperative hospital stay and cost were compared among three groups. Results Out of 397 cases, there were 9 cases converse to laparot-omy, and others accomplished LC. Biliary fistula was found in 3 cases in group A and in 5 cases in group B, and was cured after anti-infection treatment and sufficient drainage. No operative death, intestinal canal injury and peritoneal infection occurred. Compared with three groups, the operative time of group A was obviously shorter than that of group B and C (P < 0. 05) , but no statistic difference between group B and C ( P > 0. 05) . There was remarkable difference in blood loss among three groups, and the group C was the most and group B' was least (P < 0. 05). The hospital stay of group A and B was shorter than that of group C ( P < 0. 05 ) , but no statistic difference between the two groups ( P > 0. 05 ) . There was no difference in conversion rate of open surgery among three groups ( P > 0. 05 ) . The complication rate of group B was higher than group A and C (P <0.05 ) , but no statistic difference between group A and C (P > 0. 05). The csot pf hospitalization of group C was higher than that of group A and B( P <0. 05). Conclusion LC is safe and feasible for patients with acute calculous cholecystitis as early as possible, no matter the interval is within 72h or not.关键词
胆囊炎,急性/胆囊切除术,腹腔镜Key words
cholecystitis/acute/ cholecystectomy/laparoscopic分类
医药卫生
