上腹部手术后行腹腔镜胆囊切除的临床体会  

Clinical analysis of laparoscopic cholecystectomy on patients with surgical history of upper abdomen

作　　者：李靖[1] 梁平[1] 杨彤翰[1] 黄小兵[1] 刘锡能[1] 左国华[1] 丁生才[1] 李洪艳[1] 韩克强[1] 

机构地区：[1]第三军医大学新桥医院肝胆外科,重庆400037

出　　处：《中国内镜杂志》2005年第3期285-287,共3页China Journal of Endoscopy

摘　　要：目的探讨有上腹部手术史患者再次行腹腔镜胆囊切除术(LC)的可行性及临床疗效。方法对2000年1月￣2004年7月间施行的有上腹部手术史的48例LC病例(A组)进行回顾分析,并随机选择同期进行的无上腹部手术史的100例LC病例(B组)进行对比。结果A组有2例中转开腹(中转率为4%),B组有1例中转开腹(中转率为1%);平均手术时间:A组(68.6±15.7)min,B组(38.6±5.4)min,P<0.01;平均住院天数:A组(5.12±0.61)d,B组(4.96±0.48)d,P>0.05。两组病例均无手术并发症。结论对有上腹部手术史的胆囊病变,LC是安全、有效的,仍可作为首选的治疗方法。To investigate the probability of laparoscopic cholecystectomy on patients with surgical history of upper abdomen. Laparoscopic cholecystectomy in 48 patients with surgical history of upper abdomen(group A) and 100 patients no abdominal operation(group B) from January 2000 to july 2004 were analysed. Two cases were changed to laparotomy (4%) in group A, one case was changed to laparotomy(1%) in group B.The average time for operating were (68.6±15.7) min in group A and (38.6±5.4) min in group B, P<0.01. The average hospitalization time was (5.12±0.61) d in group A and (4.96±0.48) d in group B, P >0.05. All patients recovered without any complication. [Conclusions] Laparoscopic cholecystectomy is safe and effective method to the patients with surgical history of upper abdomen,it may be the first selective therapy for these patients.

关 键 词：腹部手术后 临床体会 腹腔镜胆囊切除术(LC) 上腹部手术史 平均手术时间 平均住院天数 P〉0.05 中转开腹 2004年 2000年 手术并发症 临床疗效 回顾分析 胆囊病变 治疗方法 中转率 B组 病例 

分 类 号：R656[医药卫生—外科学] R681.53[医药卫生—临床医学]