腹腔镜胆囊切除术治疗复杂性胆囊结石的评价  

EVALUATION OF LAPAROSCOPIC CHOLECYSTECTOMY ON PATIENT WITH SIMPLE AND COMPLICATED GALLSTONE

作　　者：秦明放[1] 高德宝[1] 张晓东[1] 鲁焕章[1] 

机构地区：[1]天津市南开医院第三外科

出　　处：《中华消化内镜杂志》1997年第2期81-83,共3页Chinese Journal of Digestive Endoscopy

摘　　要：为了评价腹腔镜胆囊切除术（ＬＣ）治疗复杂性胆囊结石的有效性和安全性，本文对比分析了手术时间、中转开腹手术率、并发症发生率和住院时间等项指标。结果表明，单纯组和复杂组平均手术时间分别为３１．６和４５．７分钟（Ｐ＜０．０５）；中转开腹手术率分别为１．０％和７．４％（Ｐ＜０．０１）；住院时间复杂组长于单纯组。单纯组９９％的病人、复杂组９０％以上的患者能够采用ＬＣ治愈。两组术后并发症发生率无显著差异。两组总中转开腹手术率为２．７％。本文结果提示，ＬＣ用于治疗伴有各种并发症的复杂性胆囊结石是可行的，同样可以保留和体现出它的优越性。In order to define the safety and effectiveness of laparoscopic cholecystectomy (LC),we compared the results of simple (without complications 1 094 cases)and complicated group (406 cases).LC was performed with the method of four trocars and another one for video camera throuth the paraumbilical region.In the simple group LC was performed in 99% of patients successfully while in the complicated group the procedure could also be achieved in 92 6% of patients.Immediate laparotomy was switched to in 1% and 7 4% of cases respectively.No interventional mortality occured and postoperative complications were acceptable (2 1% and 3 2%).The result indicated that LC is feasible on patients with complicated gallstone and its main advantages being retained.

关 键 词：胆结石 胆囊切除术 腹腔镜 

分 类 号：R657.420.5[医药卫生—外科学]