摘要
Abstract
Objective To explore the clinic application of laparoscopic cholecystectomy in acute alculus cholecystiti. Methods 165 patients with acute alculus cholecystiti were treated in our department from July 2011 to April 2013,they were randomLy divided into 2 groups: laparoscopic cholecystectomy group(LC group,105 patients)and openly cholecystectomy group(OC group, 60 patients).We compare the operation time,blood loss,complications,average length of hospital stay and cost between two groups.We also explore the operation skills of laparoscopic cholecystectomy in acute alculus cholecystiti. Results In LC group,bile leakage occurred in two patients and were cured after negative pressure drainage, no open cholecystectomy happened.In OC group,Intraperitoneal hemorrhage occurred in one patient and were cured after conservative treatment. Conclusion For the sake of operation safe and less complications in acute alculus cholecystiti treated by laparoscopic cholecystectomy,completely preoperative check, intraoperative cholangiography and carefully separated of the Calot's triangle,cystic duct,hepatic duct, common bile duct and gallbladder ampulla are crucial.关键词
急性结石性胆囊炎/腹腔镜胆囊切除术/胆道造影Key words
Acute alculus cholecystiti/Laparoscopic cholecystectomy/Intraoperative cholangiography分类
医药卫生
