腹腔镜外科杂志2017，Vol.22Issue(8)：609-611,3.DOI:10.13499/j.cnki.fqjwkzz.2017.08.609
急性胆囊炎合并胆囊结石行腹腔镜胆囊切除术的困难因素分析
Analysis of the difficult factors of laparoscopic cholecystectomy for acute cholecystitis with gallbladder stone
张烨 1孙加林 1窦慧强 1张科明 1周雄1
作者信息
- 1. 无锡市人民医院,江苏 无锡,214023
- 折叠
摘要
Abstract
Objective:Laparoscopic cholecystectomy (LC) has become the standard treatment for acute cholecystitis with cholecystolithiasis.This study aims to analyze the difficult factors of LC for acute cholecystitis with cholecystolithiasis in order to improve the safety of surgery and reduce the rate of postoperative complications.Methods:Two hundred and nineteen patients who underwent LC because of acute cholecystitis with gallbladder stones were randomly selected.The preoperative seizure frequency,concomitant disease,preoperative hospital stay,operative time,postoperative hospital stay and so on were observed.Single factor ANOVA and multiple linear regression analysis were used in statistical analysis.Results:The gallbladder size and the gender of patients were related to difficulty of the operation.The gallbladder wall thickness and cholecystitis attack frequency had no significant relationship with operative time,the amount of bleeding in operation and postoperative hospital stay.Non upper-abdominal operation had no effect on operative time,the amount of bleeding in operation and postoperative hospital stay.Conclusions:The size of gallbladder and the gender of patients have some relations with the difficulty of LC.The thickness of gallbladder wall and cholecystitis attack frequency may be not the main factors of difficulty of surgery,while lower abdominal surgery and upper abdominal minimally invasive surgery will not affect the operation difficulty.关键词
胆囊炎,急性/胆囊结石病/胆囊切除术,腹腔镜/手术难度/因素分析,统计学Key words
Cholecystitis,acute/Cholecystolithiasis/Cholecystectomy,laparoscopic/Operation difficulty/Factor analysis,statistical分类
医药卫生引用本文复制引用
张烨,孙加林,窦慧强,张科明,周雄..急性胆囊炎合并胆囊结石行腹腔镜胆囊切除术的困难因素分析[J].腹腔镜外科杂志,2017,22(8):609-611,3.
