腹腔镜胆囊切除术与开腹手术治疗急性结石嵌顿性胆囊炎临床分析.docVIP

精品论文 参考文献 腹腔镜胆囊切除术与开腹手术治疗急性结石嵌顿性胆囊炎临床分析 周捷（长沙市三医院普外科 410000） 【中图分类号】R675.4【文献标识码】A【文章编号】1672-5085（2012）26-0150-02 【摘要】目的 探讨腹腔镜胆囊切除术(LC)与传统开腹手术(OC)治疗急性结石嵌顿性胆囊炎的优劣。方法 回顾性分析2007年11月至2010年11月，在我院行手术治疗的143例急性结石嵌顿性胆囊炎患者的临床资料。其中腹腔镜胆囊切除术(LC)组83例，传统开腹手术组(OC)60例，观察并比较两组的手术时间、术中出血量、下床活动时间、胃肠道功能恢复时间、术后住院天数和术后并发症的发生率，对结果进行统计学分析。结果 73例顺利完成腹腔镜胆囊切除术，10例中转开腹，中转率13.7％；60例行开腹手术。LC 与OC相比术中出血量、下床活动时间、胃肠道功能恢复时间、术后住院天数和术后并发症的发生率差异具有统计学???义（Plt;0.05）结论 腹腔镜手术是治疗急性结石嵌顿性胆囊炎的有效手术方式与传统开腹手术相比，具有创伤小，术后恢复快，住院时间短，术后并发症少等优点，但对于复杂病例应及时行开腹手术治疗。 【关键词】腹腔镜胆囊切除术 开腹手术 急性结石嵌顿性胆囊炎 Laparoscopic cholecystectomy versus open surgery for acute calculus cholecystitis clinical analysis of incarcerated 【Abstract】　Objective laparoscopic cholecystectomy (LC）with traditional open surgery (OC）treatment of acute cholecystitis calculus incarcerated merits.Methods A retrospective analysis from November 2007 to November 2010,Surgical treatment in our hospital 143 cases of acute cholecystitis in patients with incarcerated stones clinical data.Which laparoscopic cholecystectomy (LC）group of 83 patients，traditional open surgerygroup (OC）60 cases were observed and compared twogroups of operative time，b100d 10ss，time to ambulation，time to recovery ofgastrointestinal function，postoperative hospital stay and postoperative complication rate，and the results were statistically analyzed.Results of 73 cases of successful completion of laparoscopic cholecystectomy，10 were converted to laparotomy，transfer rate of 13.7%；60 routine abdominal surgery.LC and OC compared to the b100d 10ss，time to ambulation，time to recovery ofgastrointestinal function，postoperative hospital stay and the incidence of postoperative complications was statistically significant difference (Plt;0.05）Conclusion abdominal surgery is the treatment of acute cholecystitis calculus incarcerated effective surgical approach compared with traditional open surgery，with less trauma，faster recovery，shorter hospital stay，fewer complications，etc，but