摘要
目的探讨腹腔镜胆囊切除术（LC）在急性结石性胆囊炎中的临床应用。方法将2011年7月～2013年4月期间来我院就诊的165例急性结石性胆囊炎患者随机分为腹腔镜胆囊切除术组（LC，n=105）和常规开腹胆囊切除术组（OC，n=60）。对比研究两组的手术时间，失血量，并发症，平均住院时间及住院费用等，并对急性结石性胆囊炎行腹腔镜胆囊切除的手术技巧进行探讨。结果LC组无中转开腹，2例术后第2天出现胆漏，给予负压引流治愈，其余103例痊愈出院；OC组中1例术后第2天出现腹腔出血，经保守治疗痊愈。结论在急性胆囊炎腹腔镜胆囊切除的处理中，完善术前检查，重视术中胆道造影，仔细解剖胆囊三角，弄清“三管一壶腹”是在急性胆囊炎腹腔镜胆囊切除术中减少并发症及手术安全的关键。
Objective To explore the clinic application of laparoscopic cholecystectomy in acute alculus cholecystiti. Methods 165 patients with acute alculus cholecystiti were treated in our department from July 2011 to April 2013,they were randomLy divided into 2 groups： laparoscopic cholecystectomy group （LC group,105 patients ） and openly cholecystectomy group （ OC group, 60 patients ）.We compare the operation time,blood loss,complications,average length of hospital stay and cost between two groups.We also explore the operation skills of laparoscopie eholecysteetomy in acute alculus cholecystiti. Results In LC group,bile leakage occurred in two patients and were cured after negative pressure drainage, no open eholecysteetomy happened.In OC group,Intraperitoneal hemorrhage occurred in one patient and were cured after conservative treatment. Conclusion For the sake of operation safe and less complications in acute alculus cholecystiti treated by laparoscopic eholecystectomy,completely preoperative cheek, intraoperative cholangiography and carefully separated of the Calot＇s triangle,cystic duct,hepatic duet, common bile duet and gallbladder ampulla are crucial.
出处
《中国医药科学》
2013年第17期206-208,共3页
China Medicine And Pharmacy
关键词
急性结石性胆囊炎
腹腔镜胆囊切除术
胆道造影
Acute alculus cholecystiti
Laparoscopic cholecystectomy
Intraoperative cholangiography
