[1]吴玉江.急性胆囊炎腹腔镜胆囊切除术适应证与术式研究[J].中国微创外科杂志,2005,05(4):290-291.
　Wu Yujiang..Indications and surgical methods of laparoscopic cholecystectomy for acute cholecystitis[J].Chinese Journal of Minimally Invasive Surgery,2005,05(4):290-291.
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急性胆囊炎腹腔镜胆囊切除术适应证与术式研究()
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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:
290-291
栏目:
出版日期:
2005-04-30

文章信息/Info

Title:
Indications and surgical methods of laparoscopic cholecystectomy for acute cholecystitis
作者:
吴玉江
浙江省湖州市中心医院普外科,湖州,313000
Author(s):
Wu Yujiang.
Department of General Surgery, Huzhou Central Hospital, Huzhou 313000, China
关键词:
急性胆囊炎;  腹腔镜;  胆囊切除术
Keywords:
Acute cholecystitis; 　Laparoscope; 　Cholecystectomy
分类号:
R657.4
文献标志码:
A
摘要:
目的探讨急性胆囊炎腹腔镜胆囊切除术的适应证及方法. 方法回顾分析78例急性胆囊炎的腹腔镜胆囊切除术(laparoscopic cholecystectomy, LC)的临床资料.65例胆囊颈部结石嵌顿;顺行切除47例,逆行切除19例,大部切除12例. 结果 74例手术成功,4例中转开腹;61例放置引流管,手术后24～48 h拔除.术后平均住院4.8 d.1例灼伤肝总管致术后胆漏,经开腹置T管6个月治愈.无其它严重并发症. 结论除少数病例(如Mirizzi综合征Ⅲ型及Ⅳ型、胆囊埋入或大部埋入肝内者及怀疑并发胆囊癌者)外,急性胆囊炎病人在发病后48 h内,应用顺行、逆行或大部切除等方法,可以安全施行LC.
Abstract:
Objective　To investigate indications and surgical methods of laparoscopic cholecystectomy (LC) in the management of acute cholecystitis.　M ethods　Clinical data of 78 cases of acute cholecystitis treated by LC were retrospectively analyzed. Stoneswere impacted in the neck of the gallbladder in 65 cases. An anterograde cholecystectomywas performed in 47 cases, a retrograde cholecystectomy in 19 cases, and a subtotal cholecystectomy, in 12 cases.　Results　The laparoscopic operation was successfully accomplished in 74 cases, whereas a conversion to open surgerywas required in 4. An abdominaldrainagewas used in 61 cases and was removed 24~48 hours after the surgery. The mean length of postoperative hospital stay was 4. 8 days. Postoperative biliary leakage occurred in 1 case because of an injury of the common hepatic duct by electrocauterization, which was cured by open surgerywith T-tube drainage for6 months. No other severe complications happened.　Conclusions　W ith the exception of a small number of cases (such asMirrizis' syndrome typeⅢorⅣ, the gallbladder totally or partially embedded in the liver, or suspected carcinoma of gallbladder), anterograde, retrograde or subtotal laparoscopic cholecystectomy can be safely applied to these with acute cholecystitiswithin 48 hours after the onset.

参考文献/References:

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更新日期/Last Update: 2014-03-31