腹腔镜治疗急性、亚急性期胆囊炎的体会

EXPERIENCE OF LAPAROSCOPIC CHOLECYSTECTOMY FOR ACUTE OR SUBACUTE CHOLECYSTITS

目的 探讨腹腔镜治疗急性、亚急性胆囊炎的可行性和并发症的预防。方法 :以时间先后将 97例急性、亚急性期胆囊炎病人经腹腔镜探查、腹腔镜胆囊切除术 (L C)的病人分为 A、B两组 ,进行对比分析。结果 :B组实施腹腔镜胆囊切除术的成功率明显高于 A组 ,且并发症少。结论 :随着技术的进步和经验的积累 ,腹腔镜胆囊切除术应用于急性、亚急性胆囊炎是可行的。

Objetive To evaluate the efficacy of Laparoscopy on acute or subacute cholecystits.Methods 97 patients with acute or subacute choloeystits were divided into two groups according to their admission date.Group A were operated by common surgeons while group B were operated by special LC surgeons.The conditions of patients,the rate of success of LC and the complications of two groups were compared and analyzed.Results The difficulty of two groups are same.The rate of success is higher in group B than that in group A (P<0.01),and the complications is less in group B than that in group A(P<0.05).Conclusion It's feasible that the patients of acute or subacute cholecystits are treated with LC by experienced special LC surgeons.