急性结石性胆囊炎行腹腔镜手术时机分析

Timing analysis of laparoscope operation in acute lithiasic cholecystitis

目的探讨急性结石性胆囊炎行腹腔镜胆囊切除术的最佳手术时机。方法将行腹腔镜下急性结石性胆囊炎切除术的患者322例,按行腹腔镜胆囊切除术距症状发作时间间隔不同分为A组118例、B组106例、C组98例。比较3组手术时间、中转开腹率及并发症发生情况。结果 C组手术时间明显长于A组和B组,中转开腹率明显高于A组和B组,差异均有统计学意义(P<0.05);3组并发症发生情况比较差异无统计学意义(P>0.05),但C组相对较高。结论腹腔镜下行急性结石性胆囊炎切除术是一种切实可行的方法,但对于急性结石性胆囊炎症发作72h后患者行手术治疗对应给予重视。

Objective To explore the the best timing of laparoscope operation in acute lithiasic cholecystitis.Methods 322 cases patients with acute lithiasic cholecystitis,according to the time interval form initial onset of symptoms to receiving the laparoscopic cholecystectomy,divided into A group（118 cases）,B group（106 cases） and C group（98 cases）.Compared the operation time,the rate of open operation midway and complications of 3 groups.Results Operative time pf C group was significantly longer than that of A group and B group,the rate of open operation midway was significantly higher than that of A group and B group,the differences were statistically significant（P〈0.05）;Compared with complications of three groups,there were no significant difference（P〉0.05）,but C group was relatively high.Conclusion The method is available for acute lithiasic cholecystitis,the doctor should pay enough attention to beyond 72h of inflammation attack.