摘要
Abstract
Objective To compare the clinical efficacy,safety and feasibility of early and delayed laparoscopy(LC)in the treatment of acute cholecystitis with mild pancreatitis.Methods Retrospective analysis was performed on 200 cases of pa-tients diagnosed with acute pancreatitis and with complete course recordsand they were divided into observation group and control group according to random drawing,among which 100 patients underwent early laparoscopic cholecystectomy(observa-tion group).Among them,100 patients(control group)underwent laparoscopic cholecystectomy after conservative treatment.The two groups were compared to convert to laparotomy(cases),operation interval(days),total hospital stay(days),operation time(minutes),postoperative complications(cases),and preoperative biliary tract related events(cases).Results There was no sig-nificant difference between the observation group and the control group(PBB00.05).There were 4 cases of laparotomy,opera-tion time(52.24±6.39)min and 4 cases of postoperative complications.In the observation group,the operative interval(5.78±0.96)days,the total hospital stay(8.51±2.78)days and the occurrence of biliary tract related events occurred in 1 patient were significantly lower than those in the control group(41.25±4.64)days,the total hospital stay(16.62±2.02)days and the occur-rence of biliary tract related events in 11 patients.The difference was statistically significant(P<0.05).Conclusion For acute cholecystitis with mild pancreatitis,the clinical effect of early LC is better than delayed LC in the same hospitalization.关键词
急性胆囊炎/轻度胰腺炎/早期腹腔镜胆囊切除术/延迟腹腔镜胆囊切除术Key words
acute cholecystitis/Mild pancreatitis/Early laparoscopic cholecystectomy/Delayed laparoscopic cholecystectomy分类
医药卫生
