摘要
Abstract
Objective:To evaluate the clinical value of complicated cholecystitis using laparoscopic subtotal cholecystectomy ( LSC) . Methods:Fifty-two patients who underwent laparoscopy from November 2011 to December 2013 as the study group, 17 cases were per-formed with LSC, 3 cases with conversion to open surgery, 32 cases with LC.Seventy-six patients between January 2008 and October 2011 as the control group, 14 cases were converted to open operation, 62 with LC.Clinical features, the rate and reasons of conversion to open surgery, anatomical variations, and pathological features were compared.Results:(1) The rate of open operation of the study group was 5.8%lower than that of the control group (18.4%); the difference was statistically significant (P ＜0.05).Bile duct injury or bleeding of cystic artery are the main reasons for them, the difference of the constituent ratio is not statistically significant ( P ＞0.05) .(2) The gallbladder and common bile duct dense adhesions and Calot's triangle fibrosis are the main pathologic changes of LSC and open operation, no statistically significant difference between the two groups (P ＞0.05).Conclusions:As an additional means, LSC can ef-fectively reduce the intraoperative complications and the incidence of conversion to laparotomy, and improve the recovery rate of complicat-ed chplecystitis with laparoscopic operation.关键词
腹腔镜胆囊次全切术/腹腔镜胆囊切除术/复杂性胆囊炎/中转开腹Key words
Laparoscopic Subtotal cholecystectomy/Laparoscopic cholecystectomy/Conversion to open surgery/Complicated cho-lecystitis分类
医药卫生
