Neck and cystic duct stones incarcerated emergency cholecystectomy for acute cholecystitis Experience.doc

 PAGE \* MERGEFORMAT 10 Neck and cystic duct stones incarcerated emergency cholecystectomy for acute cholecystitis Experience [Abstract] Objective To investigate the gallbladder neck calculi emergency cholecystectomy for acute cholecystitis rationality and evaluation. Methods Retrospective analysis of our hospital in October 2002 ~ October 2005 to take emergency cholecystectomy during the treatment of incarcerated stones in the gallbladder neck and 64 cases of acute cholecystitis in the clinical data. Results All patients with no death and the occurrence of cholangitis. 7 cases (10.9%) had wound infection, 3 cases (4.7%) had pulmonary infections were cured. Hospital stay was 8 ~ 10 days, an average of 9 days. Conclusion of the cases selected to carry out emergency cholecystectomy is safe and feasible. Within 72h of acute onset of abdominal pain in the selective application of emergency cholecystectomy for incarcerated gallbladder neck stone, and the ideal surgical acute cholecystitis, especially at the grassroots level hospitals are worth promoting. [Keywords:] calculi incarcerated; acute cholecystitis; emergency cholecystectomy Gallbladder neck calculi incarcerated cause acute cholecystitis clinically more see, some cases of acute inflammation of the bile duct occur. General surgery in our hospital in October 2002 ~ October 2005 a total of gall bladder neck duct stones incarcerated and 88 cases of patients with acute cholecystitis and selective of them in the 72h acute abdominal pain within the 64 cases of emergency surgery - Emergency cholecystectomy . These are as follows. A clinical data 1.1 General information on 64 patients in this group, female 40 cases, male 24 cases; age of 31 to 74 years old, with a median age of 54 years. 64 cases were of acute onset of persistent upper abdominal pain, paroxysmal increase, nausea, vomiting and other manifestations of acute cholecystitis. Of these, 12 patients had moderate-degree fever the performance of