肥胖患者胆囊切除的术式选择  

The choice of Cholecystectomy procedure in patients with obesity

作　　者：范作升[1] 李为民[2] 萧荫祺[2] 许红兵[2] 邹玉宝[1] 

机构地区：[1]山东省高密市人民医院外科,山东高密261500 [2]中国人民解放军第三○九医院肝胆外科,北京100091

出　　处：《中国微创外科杂志》2001年第5期277-279,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探讨肥胖患者胆囊切除的最佳术式。　方法　对 86 8例肥胖患者不同术式的胆囊切除进行回顾性研究。　结果　腹腔镜胆囊切除术 (LC)的并发症发生率 (5 % )明显低于开腹胆囊切除术 (OC) (15 .1% ) (P <0 .0 1) ,各项临床恢复指标优于OC(P <0 .0 1) ;小切口胆囊切除术 (MC)之切口受肥厚腹壁的影响 ,开展受到影响。　结论　肥胖症不应是LC的禁忌证 ,肥胖患者的胆囊切除应首选LC。Ojective To study the most appropriate cholecystectomy procedure for patients with obesity. Methods The clinical data of 868 cases treated with three different procedures of cholecystectomy were reviewed retrospectively. Results The morbidity of laparoscopic cholecystectomy(LC) in patients with obesity(5%) was lower significantly than that of open cholecystectomy (OC) in patients with obesity(15.1%) (P<0.01),All investigated parameters included clinical treatment and recovery of LC were superior to that of OC (P<0.01); A major restriction to the perfromance of Mini-Cholecystectomy(MC) is obesity. Conclusions The patients with obesity should not be contraindication of LC.LC should be first selected for patients with obesity.

关 键 词：肥胖 胆囊切除术 手术方式 并发症 单纯胆囊良性病变 

分 类 号：R657.4[医药卫生—外科学]