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| 急性胆囊炎腹腔镜胆囊切除38例临床分析 | |
| 引用本文： | 宋卫东,程海东. 急性胆囊炎腹腔镜胆囊切除38例临床分析[J]. 疾病监测与控制, 2011, 0(4): 221-222 |
| 作者姓名： | 宋卫东 程海东 |
| 作者单位： | 内蒙古医学院附属人民医院普外科,内蒙古呼和浩特010020 |
| 摘 要： | 目的 探讨急性胆囊炎腹腔镜胆囊切除术(LC)技术难度的影响因素.方法 回顾38例急性胆囊炎LC的临床资料,并对术中难度进行分析.结果 影响急性胆囊炎LC技术难度的因索有上腹部手术史或发作史,右上腹肌紧张,白细胞增高,胆囊壁增厚,胆囊颈部结石嵌顿,发病超过72h等.结论 急性胆囊炎不是LC的绝对禁忌症. |
| 关 键 词： | 急性胆囊炎 腹腔镜胆囊切除术 |
Clinical analyses OF 30 CASES ON laparoscopic cholecystectomy OF acute cholecystitis |
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| SONG Wei-dong,CHENG Hai-dong. Clinical analyses OF 30 CASES ON laparoscopic cholecystectomy OF acute cholecystitis[J]. , 2011, 0(4): 221-222 | |
| Authors: | SONG Wei-dong CHENG Hai-dong |
| Affiliation: | (Affiliated People Hospital,nner Mongolia Medical College,Hohhaot 010020,China) |
| Abstract: | Objective To discuss the influential factors on technical difficulties of laparoscopic cholecystectomy（LC） for acute cholecystitis.Methods Review the clinical data of 38 patients with acute cholecystitis,and estimate the technical difficulty of LC.Results The influential factors on technical difficulties of LC for acute cholecystitis including previous upper abdominal operation,recurrence history,rigidity in upper right abdomen,leukocytosis, thickened gallbladder wall,stone incarceration on the neck of the gallbladder,no visualization of the gallbladder sonarographically and more than 72 hours of onset of symptomatic cholelithiasis.Conclusions Acute cholecystitis is not an absolute contraindication in LC. |
| Keywords: | acute cholecystitis laparoscopic cholecystectomy |
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