腹腔镜与开腹胆囊切除术后发生胆囊切除术后综合征的比较

目的:比较腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)和开腹胆囊切除术的胆囊切除术后综合征(postcholecystectomy syndrome,PCS)发生率的差异.方法:对299例开腹胆囊切除和139例LC患者PCS的发生情况进行比较.结果:开腹胆囊切除术和LC后PCS的发生率分别为29.8%和25.9%,差异无统计学意义(P>0.05);急性期开腹胆囊切除术后PCS的发生率(51.3%)较非急性期开腹和LC术发生率高(P<0.01),胆总管结石行T管引流术后PCS的发生率较非急性期开腹胆囊切除术和LC术发生率高(P<0.01).结论:开腹胆囊切除术与LC后PCS的发生率无差异,急性期开腹胆囊切除和伴胆总管结石行T管引流的患者术后PCS的发生率明显增高.

Clinic analysis of postcholecystectomy syndrome followed laparoscopic and open cholecystectomy

Objective:To compare the rate of postcholecystectomy syndrome(PCS) followed laparoscopic and open cholecystectomy.Methods:Two hundred and twenty-nine cases of open cholecystectomy and 139 cases of laparoscopic cholecystectomy were retrospectively analyzed for the PCS rate.Results:There was no significant difference between open cholecystectomy and laparoscopic cholecystectomy for the PCS rate(P>0.05).The PCS rate was higher in the patients who accepted cholecystectomy during acute phase when compared with non-acute phase(P<0.01).Patients underwent T-tube drainage suffered from a much higher PCS rate when compared with other groups(P<0.01).Conclusions:There is no significant difference between open cholecystectomy and laparoscopic cholecystectomy for the PCS rate.Patients in the acute phase and underwent T-tube have from a much higher PCS rate.