巴明臣 毛静熙 陈训如 周正东 余少明 650032 成都军区昆明总医院肝胆外科 中华消化内镜杂志 2000 0 17 1


    关键词：急性胆囊炎；腹腔镜胆囊切除术；时机；可行性 期刊 zhxhnjzz 0 26-27 论著 fur -->


    

【摘要】目的 探讨急性胆囊炎腹腔镜胆囊切除术(LC)的可行性及手术时机。方法 回顾分析了我院1991年9月～1998年7月5800例LC中386例急性胆囊炎患者(6.5%)腹痛发作时间与手术操作难易程度及中转开腹率高低关系。结果 发作48小时以内者197例，192例完成了LC手术操作，平均手术时间37分钟(15～70分钟)，5例中转开腹(2.6%)；发作2～6天者189例，19例中转开腹(10%)，170例成功完成了LC操作，平均手术时间54分钟(30～90分钟)。全部患者均痊愈出院，无严重并发症病例出现。结论 急性胆囊炎发作48小时以内者完成LC操作较为简便，发作48小时以上者手术操作难度增大，中转开腹率亦相应增加。

Timing of laparoscopic cholecystectomy for acute cholecystitis

BA Ming chen,MAO Jinxi,CHEN Xunru,et al

    (Department of Hepatobiliary,Kunming General Hospital,Chengdu Military Region,Kuming 650032)

【 Abstract】 Objective Whether laparoscopic cholecystectomy ( LC ) is practicable on patient with acute cholecystitis was further investigated .Methods LC had been performed during past 8 years in this hospital on 5 800 patients with cholecystitis , of which 386 ( 6.5 % ) were acutely inflamed . The records of these were reviewed and analysed .Results Within 48 hours following the acute onset , LC was achieved on 192 out of 197 patients with mean operation time of 37 ( ranging 15- 70 ) minutes and a 2.6 percent ( 5 cases ) conversion rate to open cholecystectomy ( OC ) .Beyond 48 hours after the attack ( ranging 48h- 6days ) LC was completed on 170 out of 189 instances . The mean time for LC lasted 54 ( ranging 30- 90 ) minutes with a rate of conversion up to 10 percent ( 19 cases ) . All recovered uneventfully .Conclusion LC is feasible and safe for acute cholecystitis especially when it is done around 48 hours after attack , ortherwise the operative risk and rate of conversion to OC will increase with time elapsed, since that relating undoubtedly with operator’ s skill .

     ......

您现在查看是摘要页，全文长 13925 字符。