About 32 cases of atrophic cholecystitis chronic calculus surgery experience（对32例萎缩性胆囊炎慢性结石手术经验）.docVIP

About 32 cases of atrophic cholecystitis chronic calculus surgery experience [Abstract] Objective To investigate the treatment of atrophic chronic calculus cholecystitis surgery. In recent years, 32 cases of atrophic chronic calculus cholecystitis hospitalization data were retrospectively analyzed and summary results of 32 patients were cured, and postoperative vagus bile duct fistula and incision infection in 1 case, no intraoperative massive haemorrhage, bile duct injury, severe postoperative biliary fistula, intra-abdominal infection and other complications. conclusion atrophic chronic calculus cholecystitis surgery key lies in the comprehensive examination in the preoperative grasp the gallbladder. take a flexible surgical resection can achieve a good effect. [Keywords:] atrophic chronic calculus cholecystitis surgery experience Atrophic chronic calculus cholecystitis is formed by repeated episodes of cholecystitis chronic process, the local complex anatomical relationship between the variability cause great difficulties for the surgery and were treated in hospital from April 2005 to March 2010 32 cases of atrophic chronic calculus cholecystitis, now the diagnosis and treatment of the situation analysis report is as follows: 1 clinical data 1.1 General information on the whole group of 32 cases, 12 males, 20 females, male to female ratio 0.6:1, age 31 to 78 years, average 52.6 years, duration of 7 months to 23 years, an average of 6.5 years, operative time was 1.25 ~ 2.5h average 1.75h, length of stay of 7-23d, an average of 10.5 days. 1.2 The clinical manifestations of the performance of the whole group all patients had long-term right upper quadrant pain (of which 21 cases of radiation to the right shoulder back, accompanied by belching, upper abdominal discomfort, eating less, and 22 cases of gastrointestinal symptoms, mild deep tenderness in the right upper quadrant 19 cases, Murphy’s sign suspicious positive eight cases were confirme