腹腔镜胆囊大部切除治疗急性坏疽性胆囊炎的临床分析

目的 探讨腹腔镜胆囊大部切除治疗急性坏疽性胆囊炎的临床疗效.方法 回顾120例急性坏疽性胆囊炎患者实施腹腔镜胆囊大部切除术后、观察其疗效及并发症的发生率.结果 120例急性坏疽性胆囊炎患者均成功施行腹腔镜胆囊大部切除、手术成功率为100%.平均手术时间(60.2±29.2) min、平均住院时间4～7 d、平均引流管留置时间2～5 d.术后无并发症发生.除择期手术组与急诊手术组手术时间(35.0±10.0) min vs.(55.0±12.0) min两组差异有统计学意义,P<0.05外,其他无统计学意义.结论 腹腔镜胆囊大部切除术治疗急性坏疽性胆囊炎是安全、有效的方法之一.

Laparoscopic subtotal cholecystectomy for acute gangrenous cholecystitis

Objective To investigate the clinical efficacy of Laparoscopic subtotal cholecystectomy for acute gangrenous cholecystitis. Methods The clinical data of 120 patients with acute gangrenous cholecystitis who had received laparoscopic subtotal cholecystectomy were analyzed retrospectively. The data also included the efficacy of the treatment and the incidence of complications. Results Laparoscopic subtotal cholecystectomy was performed successfully in all 120 patients. The average operative time was minutes(60.2±29.2), with hospitalization for 47 days and drainage tube indwelling for 2-5 days. No postoperative complications occurred after operation. The time for laparoscopic subtotal cholecystectomy was shorter in patients undergoing elective operation than in those receiving emergency operation (35.0±10.0) minutes vs. (55.0±12.0) minutes (P<0.05). Conclusions Laparoscopic subtotal cholecystectomy is safe and effective in the treatment of acute gangrenous cholecystitis.