腹腔镜胆囊切除术治疗肥胖病人急性胆囊炎70例体会

Experience of laparoscopic cholecystectomy in 70 obese patients with acute cholecystitis

目的探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)治疗肥胖病人急性胆囊炎的手术效果。方法回顾性分析2006年4月至2009年11月行LC的70例肥胖病人急性胆囊炎的临床资料。结果本组中转开腹5例。全组无切口感染、术后出血、胆漏等并发症,恢复良好。术中出血量为(20.5±3.2)ml,手术时间为(41.3±6.2)min,术后首次通气时间为(20.0±3.3)h,术后住院时间为(5.0±0.6)d。结论 LC治疗肥胖病人急性胆囊炎,具有创伤小、恢复快、并发症少、术后住院时间短等优点,是较理想的手术方式。

Objective To investigate the effectiveness of laparoscopic cholecystectomy（LC） in obese patients with acute eholecystitis. Methods A retrospective analysis was performed on the clinical data of 70 obese patients with acute cholecysticis form April 2006 to November 2009 who were sub- jected to LC. Results A conversion to open surgery was required in 5 cases. All the cases recovered well with no such complications as incision infection, postoperative bleeding and bile leakage. The aver- age blood loss was （20. 5 ± 3. 2） ml,mean operating time was（41.3 ± 6. 2） min, first discharged time after operation was（20. 0 ± 3. 3） h and average hospital stay was （5.0 ± 0. 6） days. Conclusion LC is an ideal surgical procedure for the obese patients with appendicitis because of its advantages of minimal invasion, early recovery, few complications, and short hospital stay.