腹腔镜胆囊切除术治疗50例急性化脓性胆囊炎、胆囊结石的临床分析

目的探讨腹腔镜胆囊切除术(LC)治疗急性化脓性胆囊炎、胆囊结石的临床效果。方法随机将我科100例急性化脓性胆囊炎、胆囊结石患者分为开腹胆囊切除术治疗组(OC组)和腹腔镜胆囊切除术治疗组(LC组),术后对比两组患者的手术疗效、并发症发生率和胆囊炎复发率等情况。结果 LC组在手术时间、术中出血量、术后恢复进食时间及术后平均住院天数等方面与OC组比较,差异有高度统计学意义(P<0.01);LC组并发症发生率(4.00%)明显低于OC组(16.00%)(P<0.05);所有患者术后6个月均获得正常随访,均无复发病例。结论与传统的开腹胆囊切除术相比,行腹腔镜胆囊切除术具有创伤小、疗效好、恢复快等优点,能够明显减轻急性化脓性胆囊炎、胆囊结石患者痛苦和改善预后,在掌握手术适应证、手术时机和手术操作技巧的前提下尽早实施手术,提高患者的生存质量。

Clinical analysis of laparoscopic cholecystectomy in treatment of 50 patients with acute suppurative cholecystitis

Objective To investigate the clinical effects of laparoscopic cholecystectomy （LC） in the treatment of acute sup- purative cholecystitis. Methods One hundred patients with acute suppurative cholecystitis of our department were random- Ly divided into the open cholecystectomy treatment group （OC group） and the laparoscopic cholecystectomy treatment group （LC group）. The postoperative surgical effects, incidences of complications and recurrent rates of cholecystitis of the two groups were compared. Results The LC group and the OC group were significantly different in operative time, intraopera- tive blood loss, postoperative feeding recovery time, postoperative average hospital stay and other aspects （P〈0.01）. The in- cidence of complications of the LC group was 4.00%, which was significantly lower than the 16.00% of the OC group （P〈 0.05）. All the patients received normal follow-up in the postoperative 6 months and no relapse was observed in both groups. Conclusion Compared to traditional open choleeystectomy, laparoseopic eholecystectomy has the advantages of small incision, good effects, fast recovery and others and can remarkably reduce the pain of patients with acute suppurative cholecystitis and improve the prognosis. Therefore, under the premise of mastery of surgical indications, surgical timing and surgical skills, early surgery should be considered in order to improve the patients quality of life.