胆囊结石引发的胆源性急性胰腺炎的腹腔镜胆囊切除手术时机探讨  

The operation opportunity of laparoscopic cholecystectomy for acute biliary pancreatitis caused by gallbladder stones

作　　者：李叔强[1] 吕波[1] 袁家天[1] 

机构地区：[1]成都大学附属医院普外科,成都市610081

出　　处：《临床合理用药杂志》2015年第2期24-26,共3页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨胆囊结石引发的胆源性急性胰腺炎(ABP)患者实施腹腔镜胆囊切除术(LC)的手术时机。方法回顾性分析2004-2012年医院收治的127例胆囊结石引发的ABP并实施LC治疗的病例临床资料,分为早期手术组67例和择期手术组60例。结果早期手术组从手术并发症、术后住院天数、中转开腹率等方面较择期手术组差异无统计学意义(P>0.05),但平均总住院费用较择期手术组低,差异有统计学意义(P<0.05)。同时择期手术组在等待手术期间出现胰腺炎再发的可能。结论胆囊结石引发的ABP患者更适合早期腹腔镜胆囊切除手术治疗方案。Objective To explore the operation opportunity of laparoscopic cholecystectomy（LC ）for acute biliary pancreatitis（ABP）caused by gallbladder stones. Methods The clinical data of 127 patients with ABP form 2004 to 2012 were retrospectively analyzed. The patients were divided into the early operation group（n = 67 cases）and the selective opera-tion group. Result There was no significant difference between the two groups in operation complications,postoperative hospi-tal stay and the conversion rate to open（P ﹥ 0. 05）. But the average total hospital expenses was lower than that of the selective operation group,the difference was statistically significant（P 〈 0. 05）. Meanwhile,the selective operation group had the possi-bility of recurrent pancreatitis during the period for waiting the surgery. Conclusion The ABP caused by gallbladder stones is more suitable for early laparoscopic cholecystectomy operation treatment.

关 键 词：胆源性胰腺炎 胆囊结石 胆囊切除术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]