324例急性结石胆囊炎行腹腔镜胆囊切除术临床分析

目的分析急性结石性胆囊炎行腹腔镜胆囊切除术(LC)的可行性、疗效和相关处理。方法对比分析本院2000年4月至2008年4月急性胆囊炎行腹腔镜胆囊切除术患者324例(急诊组)及慢性胆囊炎行腹腔镜胆囊切除术患者795例(择期组)的手术时间、术中出血量、术后住院时间、中转开腹手术率及相关并发症发生率,并对不同时间行急诊LC的患者上述指标进行比较。结果两组手术时间、术中失血量、中转开腹手术率及并发症发生率比较均有统计学意义(均P<0.01),术后住院时间比较差异无统计学意义(P>0.05);不同时间行LC的患者除术后住院时间无明显差异外(P>0.05),手术时间、术中失血量、中转开腹手术率及并发症发生率比较差异均有统计学意义(均P<0.01)。结论急性结石性胆囊炎采用LC手术治疗是可行的,关健是手术者的经验及手术的技巧。

Laparoscopic Cholecystectomy for Lithiasis Acute Acute Cholecystitis:An Analysis of 324 Cases

Objective To observe the feasibility,curative effects and correlated treatment of laparoscopic cholecystectomy for lithiasis acute cholecystitis.Methods The data of 324 patients with acute cholecystitis(emergency group)and 795 patients chronic cholecystitis(electie surgery group)trated by laparoscopic cholecystectomy from April 2000 to April 2008 were retrospectively analyzed,and the two groups were compared in operating time,operative hemorrhage,time of hospitalization,the open surgery rate and the correlated complication incidence rate.Results There were significant differences in operating time,operative hemorrhage and the open surgery rate between two groups(P<0.01),excipe the time of hospitalization(P>0.05)And the same results for dissimilar time.Conclusion Laparoscopic cholecystectomy is safe and feasible in the treatment of lithiasis acute cholecystitis,and successful surgery should be based on the skilled techniques and the knowledge.