创伤后急性非结石性胆囊炎的腹腔镜治疗

Laparoscopic surgery for posttraumatic acute acalculous cholecystitis

目的 探讨腹腔镜在创伤后急性非结石性胆囊炎（acute acalculous cholecystitis,AAC）治疗中的应用价值.方法 回顾性分析本院近5年腹腔镜手术治疗14例AAC患者的临床资料及手术过程.结果 14例患者均首先行腹腔镜探查,其中9例行腹腔镜胆囊切除术（64％）,3例行腹腔镜胆囊部分切除术（22％）,2例中转开腹胆囊切除术（14％）,本组均未出现胆管损伤等并发症.结论 腹腔镜治疗AAC具有创伤小、恢复快等优点,为复杂性胆囊炎患者提供了一种相对安全有效的手术方式.

Objective To investigate laparoscopic management in patients of posttraumatic acute acaleulous cholecystitis （AAC）.Methods In this study,laparoscopic exploration was performed in 14 AAC cases during the past 5 years.Results Nine patients were treated with laparoscopic cholecystectomy,three by laparoscopic subtotal cholecystectomy,two were converted to open surgery.All patients were cured without major complications.Conclusions Laparoscopic cholecystectomy in the treatment of AAC is safe,less traumatic and quickly recovery in carefully selected AAC patients.