急性胆囊炎腹腔镜手术治疗  

Timing of laparoscopic cholecystectomy for acute cholecystitis

作　　者：金虎[1] 刘志毅[1] 李丹[1] 翟春亮[1] 谷洋[1] 张红一[1] 戴春雷[1] 刘明[1] 

机构地区：[1]吉林大学第四医院普通外科,吉林长春130011

出　　处：《吉林医学》2015年第7期1299-1301,共3页Jilin Medical Journal

摘　　要：目的：分析发病时间对急性胆囊炎腹腔镜切除的影响,探讨急性胆囊炎腹腔镜手术时机的选择。方法：回顾性分析过去5年中,急性胆囊炎行单纯腹腔镜胆囊切除术87例,按发病时间长短分为A组（≤72 h）和B组（〉72 h）两组。对比两组的术前情况及中转开腹率、平均手术时间、术中出血量、术后并发症和平均住院时间,评估两组有无差异。结果：转开腹率、术后并发症和平均住院时间分别为5.7%和7.69%,（6±0.6）d,（8±1.2）d,差异均无统计学意义（P〉0.05）。而术中出血和手术时间分别为（62±10.5）min和（70±11.9）min,10-120 ml和73±6.0 ml,差异具有统计学意义（P〈0.05）。结论：与早期手术（≤72 h）相比延迟手术（〉72 h）只是手术时间延长和术中出血增加,是安全、可靠的。Objective To analysis the influence of timing to laparoscopic cholecystectomy for acute cholecystits,and investigated the timing selection of it. Method Over the past five years,87 cases of laparoscopic cholecystectomy for acute cholecystitis were investigated retrospectively. The patients were divided into two groups according to the timing of surgery： A group（ ≤72 h）,B group（〉 72 h） from onset of symptoms. The impact of timing on the conversion rate,operation time,blood lose,morbidity and hospital stay was studied. Results The conversion rate,morbidity and hospital stay of two groups were 5. 7%,7. 69%,（ 6 ± 0. 6） d and（ 8 ± 1. 2） d respectively. There were no significant difference between them（ P〉 0. 05）. However the operation time and blood lose were（ 62 ± 10. 5） min,（ 70 ± 11. 9） min and 10 - 120 ml,（ 73 ± 6. 0） ml respectively,and there was significant difference between two groups（ P 〈0. 05）. Conclusion Compared with the early operation（ ≤72 h）,the later operation（ 〉72 h） is safe,regardless the increasing of operation time and blood lose.

关 键 词：急性胆囊炎 腹腔镜 手术 

分 类 号：R657.4[医药卫生—外科学]