腹腔镜治疗急性胆囊炎145例分析  

An analysis of 145 cases of acute cholecystitis treated by laparoscopy

作　　者：梅京松[1] 何德林[1] 庞典付[1] 吴丰学[1] 

机构地区：[1]湖北省荆州市中心医院外科,荆州434100

出　　处：《中国微创外科杂志》2003年第3期258-259,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　评价腹腔镜胆囊切除术 (LC)治疗急性胆囊炎的安全性及可行性。　方法　回顾分析 1994年～ 2 0 0 0年LC治疗急性胆囊炎 14 5例。　结果　本组急诊行LC ,手术时间 30min～ 130min ,平均 6 8min。术后并发症 5例 ,2例为胆囊动脉出血 ,均再次腹腔镜下止血成功 ;1例胆漏 ,1例大网膜损伤出血 ,再次开腹手术完成 ;1例肝下脓肿 ,经抗炎治疗痊愈。一次手术成功率 96 6 % (14 0 14 5 )。　结论　急性胆囊炎发作 1天～ 3天内 ,B超提示胆囊壁厚≤ 5mm ,急诊胆囊切除术能在腹腔镜下完成。Objective To evaluate the safety and feasibility of LC in patients with acute cholecystitis. Methods The authors retrospectively analyzed 145 cases of acute cholecystitis treated by LC from 1992～2000. Results All cases were successfully treated by LC, durations of operations being 30 to 130min with a mean 68min. Postoperative complications were found in 5 cases: Two patients underwent cystic artery bleeding, which was stopped successfully via laparoscope; the other three patients had bile leakage, bleeding of the greater omentum and subhepatic abscess, respectively, the first two cases being dealt with by open operations and the later by anti-inflammatory therapy. The success rate of LC was 96 6% (140 of 145). Conclusions LC may be applied successfully to the patients with acute cholecystitis within the first three days of incidence, after the gallbladder wall is proved ≤ 5mm by B-ultrasonography.

关 键 词：急性胆囊炎 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]