腹腔镜胆囊切除术治疗急性胆囊炎的比较分析  

Analysis of the results of laparoscopic cholecystectomy performed in patients with acute cholecystitis

作　　者：丁兆武[1] 高宪平[1] 

机构地区：[1]郑州市第三人民医院外科,450000

出　　处：《河南外科学杂志》2008年第4期3-4,共2页Henan Journal of Surgery

摘　　要：目的探讨胆囊炎急性发作时,实施腹腔镜胆囊切除术治疗的时间早晚对手术特点、手术技巧及手术结果的影响。方法对最近1年中我院54例急性胆囊炎腹腔镜胆囊切除术的过程、结果进行回顾性对照分析。结果54例中急性发作后48 h内40例行急诊腹腔镜胆囊切除术,手术时间短,无转开腹者;48 h后者手术时间长,3例转开腹,中转率为21.43%(3/14)。结论急性胆囊炎急诊施行腹腔镜胆囊切除术是有益的和必要的。Objective To study the operating points and methods of laparoscopic cholecystectomy（LC） on the management of acute chalecystitis. Methods Clinical data of 54 cases of LC had been performed in patients with acute chalecystitis during past 1 year. These operations processes and results were retrospectively compared and analyzed. Results 54 cases had performed LC in emergency within 48 hours, of which no case was converted into open - cholecystectomy（ OC ） . After 48 hours, three cases were converted into OC and the conversion rate was 21.43% （3/14）. Finally all pations were recovered. Conclusion This is essential and feasible for acute cholecystitis to perform LC in emergency.

关 键 词：急性胆囊炎 腹腔镜胆囊切除术 临床分析 治疗方法 

分 类 号：R657.41[医药卫生—外科学] R657.4[医药卫生—临床医学]