急性结石性梗阻性胆囊炎的胆囊切除

Acute obstructive calculus cholecystitis cholecystectomy

目的:探讨在不剥离胆囊床、不解剖胆囊三角的前提下,应用超声刀对急性结石性梗阻性胆囊炎患者进行胆囊切除术的可行性。方法:收治急性结石性梗阻性胆囊炎患者25例,行腹腔镜下超声刀胆囊切除术,分析临床诊疗结果。结果:手术操作平均时间(78.5±25.2)min,平均(6.4±0.2)d后患者腹部疼痛症状均消失,体温及白细胞数量均于术后(2.4±0.6)d恢复正常,术后引流管放置(5.2±0.7)d,引流量(125.5±22.8)m L。术后所有患者均未出现感染、出血、胆漏等严重并发症,且无结石残留及手术区域积液等不良症状。结论:应用超声刀胆囊切除术治疗急性结石性梗阻性胆囊炎疗效和预后效果均较为显著。

Objective:To discuss Without peeling the gallbladder bed,not dissect the gallbladder triangle premise,the feasibility of ultrasonic knife in patients with acute cholecystitis obstructive conduct cholecystectomy.Methods:25 patients with obstructive acute calculus cholecystitis were selected.They were given laparoscopy ultrasonic scalpel cholecystectomy.We analyzed clinical results.Results:The average operative time was (78.5±25.2)min,average(6.4±0.2)d after the symptoms disappeared in patients with abdominal pain.Body temperature and white blood cell count were postoperatively(2.4 ± 0.6)d returned to normal, postoperative drainage tube placement(5.2 ± 0.7)d,drainage(125.5 ± 22.8)mL.All patients had no serious complication of infection,bleeding,bile leak,and no residual stones and surgical area effusions and other adverse symptoms.Conclusion: The efficacy and prognosis in the treatment with ultrasonic knife for acute obstructive calculus cholecystitis are more significant.