急性胆囊炎126例手术治疗的回顾性研究

目的探讨腹腔镜胆囊切除术治疗急性胆囊炎的可行性。方法2003年1月至2007年12月行胆囊切除术治疗急性胆囊炎／26例，其中腹腔镜胆囊切除术52例，开腹胆囊切除术74例，比较两种手术的手术时间、术中出血量、下床活动时间、术后排气时间、切口感染率、住院时间、住院综合费用。结果126例急性胆囊炎患者均手术成功，两组病例除手术时间、术中出血两项指标无显著差异，但腹腔镜胆囊切除术组术后下床活动时间、术后排气时间、住院时间、切口感染率、放置引流管比率和住院综合费用等各项指标均优于开腹胆囊切除术组，差异有显著性（P〈0．05）。结论和开腹胆囊切除术相比，腹腔镜胆囊切除术治疗急性胆囊炎具有创伤小、并发症少和平均住院时间短等优点，是治疗急性胆囊炎可行的手术方式。

Retrospective analysis of 126 patients with acute cholecystitis receiving cholecystectomy

Objective To investigate the feasibility of laparoscopic cholecystectomy（LC） for treatment of acute cholecystitis. Meth- ods The clinical data of 126 cases performed eholecystectomy from January 2003 to December 2007 were retrospectively analyzed. Among them,52 cases received LC and 74 cases received open cholecystectomy （OC）. According to surgical styles, 126 cases were divided into LC group and OC group. Results Among 52 cases, LC was successfully accomplished in 45 cases and conversion to open surgery was required in 7 cases. The results showed that the recovery time for gastrointestinal function, average hospitalization duration after operation, average time for gelling up from bed after operation, hospitalization charges, rate for incisional infection and placement of drainage tube in patients with LC group were significantly less than those of patients in OC group（ P 〈 O. 05 ） , but there was no significant difference in surgical duration and intraoperative bleeding between patients of LC group and OC group （ P 〉 0. 05 ）. Conclusion Laparoscopie cholecstectomy has smaller incisional wound, less complication＇s, shorter hospitalization time in comparison with open cholecystectomy, and it is a safe and feasible method for surgical treatment of acute cholecystitis.