中国现代手术学杂志2017，Vol.21Issue(5)：340-343,4.DOI:10.16260/j.cnki.1009-2188.2017.05.005
急性胆囊炎患者行腹腔镜胆囊切除术的时机选择
Timing of Laparoscopic Cholecystectomy for Patients with Acute Cholecystitis
摘要
Abstract
Objective To study the timing of laparoscopic cholecystectomy(LC)on clinical efficacy and safety in patients with acute cholecystitis. Methods A total of 120 patients with acute cholecystitis who under-went laparoscopic cholecystectomy in our hospital from January 2015 to March 2017 were selected and divided into three groups according to the random number table. Among them,40 patients in the early group were treated by laparoscopic cholecystectomy within 3 days. 40 cases in the deferred group received LC in 4~21 days after the onset of acute cholecystitis. And the other 40 patients of elective group were given conservative treatments before an implementation of surgery. The perioperative period,the rate of laparotomy and postoperative complications of the three groups were compared. Results There was no significant difference in bleeding volume,ambulation time and anus exhaust time between the early group and the elective group (P>0. 05). The bleeding volume in the early group and the elective group was significantly less than that of the deferred group (P<0. 05). Operation time and hospitalization time in the early group were significantly shorter than that of the deferred and elective groups (P<0. 05). The laparotomy rate was 22. 5% in the deferred group,which was significantly higher than that of the early group and the selective group. The incidence of gastrointestinal injury,liver injury,infection, bile leakage and intestinal fistula in the three groups showed no significant difference (P>0. 05). Conclusion Laparoscopic cholecystectomy in early stage (less than 3 d)is more effective in patients with acute cholecystitis, which can shorten operation time,reduce the laparotomy conversion rate and complications,and is beneficial to postoperative recovery.关键词
急性胆囊炎/腹腔镜检查/胆囊切除术/手术时机Key words
acute cholecystitis/laparoscopy/cholecystectomy/operation opportunity分类
医药卫生引用本文复制引用
焦兰农,周绍荣..急性胆囊炎患者行腹腔镜胆囊切除术的时机选择[J].中国现代手术学杂志,2017,21(5):340-343,4.基金项目
泰州市科技计划项目(编号:TS201341) （编号:TS201341）
