腹腔镜胆囊切除术在急性胆囊炎中的应用

目的:探讨急性胆囊炎腹腔镜胆囊切除术的应用价值.方法:回顾分析2007年10月至2008年10月为18例急性胆囊炎患者行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的临床资料.均于发病72 h内施术,均发热,超过38.0C,无黄疸、上腹部手术史.经积极术前准备后均于3h内行LC.结...

Application of laparoscopic cholecystectomy in the treatment of acute cholecystitis

Objective:To discuss the value of laparoscopic cholecystectomy(LC) in the treatment of acute cholecystitis.Methods:The clinical data of 18 patients with acute cholecystitis underwent LC were retrospectively analyzed.All the operations were performed within 72 hours after onset,all patients suffered with a fever over 38.0℃,without history of jaundice and the upper abdomen operation.All patients were operated on within 3 hours after admission.Results:Of the 18 cases,LC was completed successfully in 17,including 6 cases of gallbladder gangrenes,10 cases of impacted stones in gallbladder neck,2 cases of gallbladder perforation.Only 1 case was converted to open surgery because of a Mirizzi syndrome.The mean time was 40 min(25-95 min).The average postoperative hospitalization was 3 days.Conclusions:LC is safe and effective for acute cholecystitis especial in 72 after onset.LC has advantage of shorter hospitalization,better recovery,no surgery-related complications such as pain and infection of the wound.It should be popularized in the treatment of acute cholecystitis since it has been widely performed,especially benefiting patients accompanied by medical disorders and those who have a huge risk of anesthesia in open surgery.