急性结石性胆囊炎行腹腔镜逆行次全胆囊切除术的疗效观察

The clinical efficacy observation of laparoscopic retrograde subtotal cholecystectomy for acute calculous cholecystitis

目的:探讨为急性结石性胆囊炎患者行腹腔镜逆行次全胆囊切除术的临床疗效。方法:回顾分析97例急性结石性胆囊炎患者的临床资料,其中48例行腹腔镜逆行次全胆囊切除术(观察组),49例行腹腔镜逆行胆囊切除术(对照组)。结果:两组均有1例中转开腹。观察组手术时间缩短,术中出血量减少,两组相比差异有统计学意义(P<0.05);术后第1天体温、术后并发症发生率及住院时间两组差异无统计学意义(P>0.05)。结论:腹腔镜逆行次全胆囊切除术治疗慢性结石性胆囊炎疗效满意,与腹腔镜逆行胆囊切除术相比,操作更简单,手术时间更短。

Objective：To investigate the clinical efficacy of laparoscopic retrograde subtotal cholecystectomy tbr acute calculous cholecystitis patients. Methods：Ninety-seven patients with acute calculous cholecystitis were divided into two groups by different surgi- cal procedures. One group （ group A） took retrograde subtotal cholecystectomy which had 48 cases,the other group （ group B） took lap- aroscopic retrograde cholecysteetomy which had 49 cases. Results：Two groups of patients underwent successful laparoscopic surgeries. Both the operative time and blood loss of group A were less than group B（P 〈 O. 05）. There was no difference on incidence of postoper- ative complications,hospital stay and body temperature （P 〉 0.05） on the first day after operation. Conclusions：The results of laparo- scopic retrograde subtotal cholecystectomy for acute calculous cbolecystitis patients is satisfactory. It is easier,and has shorter operative time compared with laparoscopic retrograde eholecystectomy. So it is worth widely popularizing.