腹腔镜胆囊切除术治疗急性胆囊炎256例疗效分析

Curative effect of 256 acute cholecystitis by laparoscopic cholecystectomy

目的探讨腹腔镜胆囊切除术治疗急性胆囊炎患者的临床疗效。方法回顾性分析256例急性胆囊炎患者采用腹腔镜胆囊切除术治疗的临床效果资料,并与早期的200例传统开腹手术治疗的急性胆囊炎患者的临床治疗效果做比较。结果治疗组手术时间78.4±26.9分钟,对照组手术时间116.6±42.4分钟;治疗组住院时间6.2±2.5天,对照组住院时间9.8±4.6天;差异具有显著性。与传统手术治疗相比,腹腔镜胆囊切除术治疗急性胆囊炎患者的术后并发症大大降低。结论在严格掌握适应证的基础上,腹腔镜胆囊切除术治疗急性胆囊炎是安全和有效的。

Objective To explore the clinical curative effect of patients with acute cholecystitis treat by laparoscopic cholecystectomy. Methods The clinical efficacy data of 256 cases with acute cholecystitis underwent laparoscopic cholecystectomy were retrospectively analyzed. And make it compare with clinical efficacy data of 200 cases with a- cute cholecystitis underwent open cholecystectomy before this time. Results The operation time and length of stay of treatment group were 78.4 ± 26.9 minutes and 6.2 ± 2.5 days, and the peration time and length of stay of control group were 116.6 ± 42.4 minutes and 9.8 ± 4.6 days. There are significant difference between two groups. There are lower ratio of postoperative complications in laparoscopic cholecystectomy than open cholecystectomy. Conclusion Base on prehensioning laparoscopic cholecystectomy indicatio, it can be a safety and effective method for acute cholecystitis.