[1]郭定炯,龚迪和,洪德飞①.腹腔镜胆囊切除术在急性胆囊炎中的应用[J].中国微创外科杂志,2005,05(4):288-289.
 Guo Dingjiong*,Gong Dihe*,Hong Defei.Laparoscopic cholecystectomy for acute cholecystitis[J].Chinese Journal of Minimally Invasive Surgery,2005,05(4):288-289.
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腹腔镜胆囊切除术在急性胆囊炎中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年4期
页码:
288-289
栏目:
出版日期:
2005-04-30

文章信息/Info

Title:
Laparoscopic cholecystectomy for acute cholecystitis
作者:
郭定炯龚迪和洪德飞①
浙江省慈溪市人民医院普通外科,慈溪,315300
Author(s):
Guo Dingjiong* Gong Dihe* Hong Defei
Department of General Surgery,Cixi People's Hospital, Cixi 315300, China
关键词:
急性胆囊炎 腹腔镜胆囊切除术
Keywords:
Acute cholecystitis Laparoscopic cholecystectomy
分类号:
R657.4
文献标志码:
A
摘要:
目的评价急性胆囊炎中应用腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的方法和疗效. 方法回顾分析1998年8月~2003年8月LC治疗急性胆囊炎201例. 结果本组均于入院24 h内行LC.完成LC 192例(95.52%),中转开腹9例.手术时间40~150 min,平均85 min.随访2~12个月,无并发症. 结论急性胆囊炎中应用LC难度大、变异多,但只要严格掌握手术适应证和手术技巧,在基层医院开展LC是可行的.
Abstract:
Objective To evaluate techniques and effects of laparoscopic cholecystectomy (LC) in patients with acute cholecystitis. M ethods We retrospectively reviewed 201 cases of acute cholecystitis treated by LC from August 1998 to August 2003. Results All the caseswere operated onwithin 24 hours after admission. Laparoscopic cholecystectomywas completed in 192 cases (95·52% ) and a conversion to open surgerywas required in 9 cases. The duration ofoperationwas 40~150 min, with amean of85 min. Follow-up for 2~12 months found no complications. Conclusions Application of laparoscopic cholecystectomy for acute cholecystitis is difficult because of diverse anatomic variations from the norma.l But it is still feasible in primary hospitals provided that surgical indications and operative procedures are strictly followed.

参考文献/References:

[1]周全胜,周运平,杨立宇,等. 胆囊炎腹腔镜胆囊大部切除术治疗急慢性胆囊炎.中国微创外科杂志,2002,2(1):66.
[2]洪德飞,李君达,蔡秀军,等. 胆道造影在腹腔镜胆囊切除术中的特殊价值.中华肝胆外科杂志,1998,4(2):101-103.
[3]李根丛,李宏,鲍生甫.选择性术中胆道造影在腹腔镜胆囊切除术中的应用.肝胆胰外科杂志,2000,12(1):45-46.
[4]李君达,洪德飞,蔡秀军,等.急性胆囊炎腹腔镜胆囊切除术.中华急症医学杂志,1998,7(2):427-428.
[5]蔡秀军,李立波,宋向阳,等.特殊类型腹腔镜胆囊切除术.中国实用外科杂志,1998,18(6):346-347.
[6]何三光,夏志平,田利国.中国外科专家经验文集.沈阳:沈阳出版社,2000.900-901.

备注/Memo

备注/Memo:
①(浙江大学医学院附属邵逸夫医院,杭州,340016)
更新日期/Last Update: 2014-03-31