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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:

03

期数:

2003年3期

页码:

258-259

栏目:

经验交流

出版日期:

2003-03-31

文章信息/Info

Title:

An analysis of 145 cases of acute cholecystitis treated by laparoscopy

作者:

梅京松　 何德林　 庞典付　 吴丰学

湖北省荆州市中心医院外科,荆州,434100

Author(s):

MeiJingsong; He Delin; PangDianfu; et al.

Department ofSur- gery,Jingzhou CentralHospital,Jingzhou434100,China

关键词:

急性胆囊炎;  腹腔镜

Keywords:

Acute cholecystitis; 　　Laparoscopy

分类号:

R657.4

文献标志码:

B

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～2000年LC治疗急性胆囊炎145例. 结果本组急诊行LC,手术时间30min～130min,平均68min.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%(140/145). 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.

Abstract:

Objective　To evaluate the safety and feasibility of LC in patients with acute cholecystitis.　Methods　The authors ret- rospectively 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 130minwith a mean 68min. Postoperative complicationswere found in 5 cases: Two patients underwent cys- tic artery bleeding, whichwas 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 dealtwith 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.

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更新日期/Last Update: 2014-06-10