腹腔镜治疗急性结石性胆囊炎50例的临床研究

目的研究探讨腹腔镜技术在急性结石性胆囊炎治疗中的安全可靠性。方法通过我科2013年1月至2016年1月收治的50例急性结石性胆囊炎患者的临床资料,回顾分析腹腔镜治疗急性结石性胆囊炎的疗效。其中对照组开腹胆囊切除术(OC)40例,试验组腹腔镜胆囊切除术(LC)50例。对比分析两组的手术时间、术后恢复及并发症情况。结果 LC组的切口愈合时间及手术时间均低于OC组(P0.05)。腹腔镜胆囊切除术除5例中转开腹,余术后无胆漏、胆道狭窄等严重并发症。结论在术者拥有熟练的腹腔镜操作技术的前提下,大多数急性结石性胆囊炎患者行LC是安全可行的。与开腹手术相比,有一定的优势。但仍存在一定的手术风险。

The clinical research of 50 patients of acute calculous cholecystitis treated by laparoscopic cholecystectomy

Objective To explore the safety and reliability of laparoscopic cholecystectomy in treatment of acute calculous cholecystitis.Methods The clinical data of 50 patients with acute calculous cholecystitis who received laparoscopic cholecystectomy from Jan.2013 to Jan.2016 were retrospectively analyzed.90 patients were divided into the treatment group (n =50) and the control group (n =40).Comparative analysis of two groups of operation time,postoperative recovery and complications.Results The healing time and operation time of treatment group lower than control group obviously.Five patients convemion to laparotomy.The rest of patients without serious complications postoperatively.Conclusions On the premise of professional skill,it's safe and effective in most of the patients who suffering from acute calculous cholecystitis underwent laparoscopic cholecystectomy.