高原地区急性结石性胆囊炎行腹腔镜胆囊切除术的临床研究

The clinical research of laparoscopic cholecystectomy for acute calculous cholecystitis in plateau region

目的：探讨高原农业地区体力劳动者急性结石性胆囊炎发作行腹腔镜胆囊切除术（laparoscopic cholecytectomy,LC）的疗效及应用价值。方法：90例患者均行四孔法LC。放置引流管23根。结果：90例除1例中转开腹外,余腹腔镜手术均获成功。术后3-5d拔除引流管,无切口感染,痊愈出院。平均住院6.5d。随访表明,恢复劳动快,无并发症发生。结论：高原农业地区家庭主要劳动者急性结石性胆囊炎发病率高,行LC康复快,疗效好,对体力无影响,是一种切实可行的手术治疗方法。

Objective： To explore the therapeuti effect and practical value of laparoscopic surgery in treating acute calculous cholecystitis of plateau agricultural region workers. Methods：Ninety cases were performed laparoscopic cholecystectomy（LC） with four holes operation and 2-3 silicone tube drainage. Results： Eighty-nine cases were success and 1 case converted to open operation. The drainage tubes were removed within 5-6d postoperatively. There was no infection of incision. All patients with LC recovered quickly without complication. The average hospitalization was 6.5d. Conclusions：The acute calculous cholecystitis incidence of the family worker in plateau agriculture region is high. For this disease,laparoscopic surgery is safe and effective with advantage of quick recovery and minimal invasive.