腹腔镜胆囊切除处理急性、亚急性和慢性胆囊炎的比较  

A comparison of laparoscopic cholecystectomy for acute, subacute and chronic choiecystitis

作　　者：易旭华[1] 王宏[1] 罗建管 潘小季[1] 

机构地区：[1]湖南省浏阳市人民医院肝胆外科,410300

出　　处：《临床外科杂志》2009年第2期103-105,共3页Journal of Clinical Surgery

摘　　要：目的比较腹腔镜胆囊切除处理急性、亚急性和慢性胆囊炎的利弊。方法对2004年1月至2008年1月期间行LC的2328例各期胆囊炎进行回顾性分析。比较各期手术时间、术后住院天数、总住院天数、术后并发症和中转开腹率。结果三期术后住院天数、术后并发症和中转开腹率比较差异无统计学意义（P〉0．05）；慢性期手术时间短于急性期和亚急性期（P〈0．001），但急性期和亚急性期手术时间比较差异无统计学意义（P〉0．05）；急性期总住院天数要明显短于亚急性期和慢性期（P〈0．001），亚急性期与慢性期总住院天数比较差异无统计学意义（P〉0．05）。结论LC处理急性、亚急性和慢性胆囊炎均是可行且安全的；急性期行LC能缩短总住院时间。Objective To compare advantages and disadvantages of laparoseopic cholecystectomy in treatment of acute, subaeute and chronic choleeystitis. Methods 2328 cases of cholecystitis between January 2004 to January 2008 were analyzed retrospectively, and operative time, postoperative hospital stay, total hospital stay, postoperative complications and conversion rate were compared. Results There was no statistically significant difference in postoperative hospital stay, postoperative complications and conversion rate among three groups （P 〉 0.05）. Operative time in chronic cholecystitis was shorter than that in acute and subacute cholecystitis （P 〈 0. 001 ） , but there was no statistically significant difference between acute and subaeute eholecystitis （ P 〉 0.05 ）. Total hospital stay in acute eholeeystitis was shorter than in chronic and subacute cholecystitis （P 〈 0. 001 ） , but there was no statistically significant difference between chronic and subacute cholecystitis （P 〉 0.05）. Conclusion It is feasible and safe to treat acute and subacute cholecystitis by LC, and total hospital stay is shortened in acute cholecystitis.

关 键 词：腹腔镜胆囊切除术 胆囊炎 

分 类 号：R657.41[医药卫生—外科学]