对腹腔镜胆囊切除适应证选择的浅见

Analysis of Traditional Open and Laparoscopic Cholecystectomy

对腹腔镜胆囊切除适应证选择的浅见王炳煌（昆明医学院第二附属医院肝胆胰外科昆明６５０１０１）近年来国内外广泛开展ＬＣ，对于适应证的选择和中转开腹手术的掌握各有己见。据我们的体会，在开展ＬＣ的初期应选择病程较短、急性炎症发作较少、估计粘连不多、有症状的单...

The paper reports a comparison between 400 case of traditionally open cholecystectomy(OC group)and 400 case of laparoscopic cholecystectomy(LC group).The patients'condition of sex and age was similar in two group.But there are more patients in OC group who had complicatedly pathological changes and difficult problem. The results showed that as compared with OC group,the number of patients who needed analgesic decreased remarkably;the average time of bowel sound recovery and passing flatus was 19 hours earlier;average time of beginning food intake one day earlier;hospitalization days 2 days short;there was no uncomfortableness due to cicatricial contracture in LC group.There was the similar incidence of complication in two groups.But the complications were more serious in LC group than in OC group.These suggest that in addition to strengthening laparoscopic technique iraning an appropriate choice of LC indication with paying attention to prevention of serious complication will enable LC to show superiority.