腹腔镜手术治疗不同时段急性胆囊炎疗效比较

Laparoscopic surgery on different periods of acute cholecystitis

目的探讨腹腔镜胆囊切除术(LC)治疗不同时段急性胆囊炎的手术时机及临床疗效。方法将收治的239例急性胆囊炎病例,按急性胆囊炎发病时间至手术时间,分为早期急性胆囊炎手术组152例(发病<72h),延迟性急性胆囊炎手术组87例(发病>72h)。结果延迟性急性胆囊手术组术中出血量和手术时间均较早期急性胆囊炎手术组为多(P<0.05),但两组间并发症发生率、住院时间上无统计学差异(P>0.05)。结论急性胆囊炎应尽早实施LC手术,无论病程长短,只要采用恰当的手术技巧,LC均为安全、可靠术式之一。

Objective To evaluate clinical efficacy of laparoscopic cholecystectomy （LC） treatment at different times of acute cholecystitis timing. Methods 239 cases of acute cholecystitis laparoscopic cases were divided into early acute cholecystitis surgery group （surgery within 72 hours of onset） and delayed acute cholecystitis group （incidence of 72 hours after surgery）. Results The blood loss and surgical time of delayed acute gallbladder surgery group were significantly different from that of early acute cholecystitis group （P〈0.05）. The incidence of complications length of hospital stay was not statistically different between the two groups （P〉0.05）. Conclusion Acute cholecystitis should be implemented as soon as possible LC surgery, regardless of duration of disease, as long as the use of appropriate surgical techniques.