腹腔镜胃肠术后急性非结石性胆囊炎的临床分析

Clinical analysis of acute acalculous cholecystitis after laparoscopic gastrointestinal operation

目的为探讨腹腔镜胃肠手术后发生急性非结石性胆囊炎的诊断及治疗。方法回顾性分析2003年1月～2008年12月在该院行腹腔镜胃肠手术、术后发生急性非结石性胆囊炎的10例患者的诊治过程。结果6例患者行开腹胆囊切除,1例患者行开腹胆囊次全切除,另有3例患者再次行腹腔镜下胆囊切除术,术后无胆管相关并发症发生,均治愈出院。结论腹腔镜下胃肠道大手术后少数患者易发生急性非结石性胆囊炎,其原因复杂,临床需早期诊断,治疗方法一般选择胆囊切除术,具体术式应当遵循个体化原则。

[ Objective ] To research the diagnosis and treatment of acute acalculous cholecystitis after laparoscopic gastrointestinal operation. [ Methods ] The diagnosis and treatment of 10 eases with acute aealculous eholeeystitis were retrospectively analyzed. They had the disease after laparoscopic gastrointestinal operation during January 2003 and December 2008. [ Results ] Open cholecystectomy were performed in 6 cases, subtotal eholecysteetomy in 1 case, and 3 cases had laparoseopic cholecystectomy for the second time. All the patients recovered without biliary complication. [ Conclusion] A few patients would get acute acaleulous eholecystitis after laparoscopic gastrointestinal operation. The causes of a disease are very complicated. Early diagnosis is important in clinic. Choleeysteetomy is usually chosen to treat the disease, but operative method should be individualized.