腹腔镜胆囊切除术时机选择对结石性胆囊炎急性发作及手术情况的影响

Effect of Timing of Laparoscopic Cholecystectomy on Acute Episodes of Calculus Cholecystitis and Operation

目的探讨分析不同时机腹腔镜胆囊切除术治疗结石性胆囊炎急性发作患者的效果。方法结石性胆囊炎急性发作患者50例随机分为乙组和甲组。甲组在发病后3 d内实施腹腔镜胆囊切除术,乙组在发病后3 d后实施腹腔镜胆囊切除术。对比两组治疗效果。结果乙组中转开腹率、手术成功患者术中失血量、手术时间都大于甲组(P<0.05)。结论发病后3天内实施腹腔镜胆囊切除术治疗结石性胆囊炎急性发作,成功率高,手术时间短、患者术中失血量少。

Objective To investigate the different timing of laparoscopic cholecystectomy in the treatment of acute episodes of stone cholecystitis. Methods Fifty patients with acute calcific cholecystitis were randomly divided into group B and group A. Group A laparoscopic cholecystectomy was performed within 3 days after onset,and laparoscopic cholecystectomy was performed in group B 3 days after onset. Compare the two groups treatment effect. Results In group B,the laparotomy rate was improved and the blood loss during operation and operation time were longer than those in group A(P<0.05). Conclusion Laparoscopic cholecystectomy is an effective method to treat acute episodes of stone cholecystitis within 3 days after onset. The success rate is high,the operation time is short and the intraoperative blood loss is small.