急性胆囊炎腹腔镜胆囊切除手术时机的再探讨  

Laparoscopic operative opportunity of acute cholecystitis

作　　者：张展志[1,2] 张能维[1,2] 朱斌[1,2] 王岩[1,2] 王桐生[1,2] 李凯[1,2] 

机构地区：[1]北京大学第九临床医学院 [2]北京世纪坛医院腹腔镜中心,北京100038

出　　处：《安徽医药》2010年第1期51-52,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨急性胆囊炎腹腔镜胆囊切除手术时机的相关问题。方法将该院2004年2月到2008年8月收治的133名急性胆囊炎行LC病例分为早期组(34例,急性发作72 h内手术)和延期组(99例,急性发作72 h后手术)进行比较分析。结果延期组较早期组LC手术时间和总住院时间明显延长;术后住院时间、中转开腹率及术后并发症差别不明显。结论急性期胆囊炎病人宜早期施行LC,但在技术熟练、经验丰富的前提下,延期手术亦安全可行。Aim To discuss the laparoseopic operative opportunity of acute cholecystitis. Methods The clinical data of 133 cases from February 2004 to August 2008 receiving LC were analysing retrospectively. The early acute cholecystitis group （ 34 patients, acuteness manifests suddenly within 72 hours ） was compared with the deferred acute cholecystitis group （99 patients, acuteness manifests suddenly after 72 hours） all of which received LC. Results Average operation time and total hospital stay of the deferred acute cholecystitis group were longer than that of the early acute cholecystitis group, while postoperative hospital stay, the rate of changing to open operation and postoperative complications were not different obviously, Conclusion It is feasible to receive LC for acute cholecystitis in time,and the deferred operations are also safe when there is a skillful and experienced surgeon

关 键 词：急性胆囊炎 腹腔镜胆囊切除术 手术时机 

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