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腹腔镜治疗急性结石性胆囊炎82例临床分析
引用本文:黎辉,黎有典,黄跃衡,彭剑波.腹腔镜治疗急性结石性胆囊炎82例临床分析[J].中国当代医药,2011,18(15):19-20.
作者姓名:黎辉  黎有典  黄跃衡  彭剑波
作者单位:湖南省常德市第一人民医院,湖南,常德,415003
摘    要:目的:探讨腹腔镜治疗急性结石性胆囊炎的临床疗效。方法:将82例行腹腔镜治疗的急性结石性胆囊炎患者,按发病后手术时间分为A组(72h内手术)和B组(72h后手术)。结果:全组无手术死亡病例,A组平均手术时间、平均住院时间及中转开腹率均显著少于B组(P〈0.01)。结论:发病72h内手术是腹腔镜治疗急性结石性胆囊炎的最佳手术时机,术者必须熟练掌握操作技术。

关 键 词:腹腔镜  急性结石性胆囊炎  手术时机  临床分析

Clinical analysis of laparoscopic cholecystectomy for acute lithiasic cholecystitis
Authors:LI Hui  LI Youdian  HUANG Yueheng  PENG Jianbo
Institution:The First People′s Hospital of Changde City, Hunan Province, Changde 415003, China
Abstract:Objective:To explore the clinical effect of laparoscopic cholecystectomy (LC) for acute lithiasic cholecystitis. Methods:82 cases with acute lithiasic cholecystitis underwent LC were divided into two groups:group A (operation within 72 hours) and group B (operation after 72 hours). Results:All the patients were successfully treated. The mean operation time, hospital time and conversion from LC to open surgery were all significant lower than group B (P0.01). Conclusion:The optimal time of LC for acute lithiasic cholecystitis, and successful surgery should be based on the skilled techniques in the operation.
Keywords:Laparoscopic cholecystectomy  Acute lithiasic cholecystitis  Time of operation  Clinical analysis
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