摘要
目的探讨腹腔镜胆囊切除治疗急性化脓性胆囊炎的可行性、安全性。方法对我科自2004年8月～2012年1月100例行腹腔镜胆囊切除的急性化脓性胆囊炎患者的病历资料进行回顾性分析。结果 88例行腹腔镜胆囊切除术,7例行胆囊大部切除术,3例行胆囊造瘘术,2例因出血或解剖变异而中转开腹。手术时间40～240 min,出血量10～100 ml,术后胆漏2例,经保守治疗均痊愈。结论腹腔镜胆囊切除治疗急性化脓性胆囊炎是安全可行的。
Objective To study the feasibility and safety of laparoscopic cholecystectomy for acute pyogenic cholecystitis. Methods The 100 cases of laparoscopic cholecystectomy for acute pyogenic cholecystitis were studied by retrospective analysis. Results laparoscopic cholecystectomy was succeed in 88 cases ;7 patients received laparoscopic subtotal cholecystectomy;6 patients were taked in cholecystostomy ;2 patients were converted to open surgery because of bleeding or abnormal in anatomy. Operating time was 40 -240 min,bleeding 10 - 100 ml,2 cases who had bile seepage were cured after expectant treatment. Conclusion Laparoscopic cholecystectomy is feasibility and safety for acute pyogenic cholecystitis.
出处
《肝胆外科杂志》
2013年第2期111-113,共3页
Journal of Hepatobiliary Surgery
