腹腔镜胆囊切除术治疗急性胆囊炎:附272例报告
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朱载阳

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Laparoscopic cholecystectomy for acute cholecystitis:a report of 272 cases
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    摘要:

    目的:目的 探讨急性胆囊炎腹腔镜胆囊切除术(LC)的术式、术中处理,并发症的防治。
    方法:回顾性分析2003年3月—2007年4月间272例急性胆囊炎患者临床资料,采用腹腔镜完整胆囊切除术260例,胆囊大部切除术加残余胆囊黏膜电灼破坏术12例。
    结果:无中转开腹者,无死亡、胆道损伤、大出血等严重并发症。
    结论:急性胆囊炎行腹腔镜胆囊切除术(LC)是安全、有效的。其出血少、创伤小、恢复快。

    Abstract:

    Objective:To explore the operation methods, intraoperative treatment, measures for prevention and treatment of complications of laparoscopic cholecystectomy (LC) for acute cholecystitis.
    Methods :Two hundred and serentytwo patients with acute cholecystitis from March 2003 to April 2007 were analyzed retrospectively. We performed total laparoscopic cholecystectomy in 260 cases and subtotal laparoscopic cholecystectomy with cholecystomucoclasis of remnant gallbladder in 12 cases.
    Results:None of 272 cases was converted to open operation.There was no mortality, and no bile duct injury or major bleeding.
    Conclusions:Laparoscopic cholecystectomy is a safe and effective method for acute cholecystitis and it has the advantages of minimal trauma,quick recovery and less blood loss.

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朱载阳, 李英.腹腔镜胆囊切除术治疗急性胆囊炎:附272例报告[J].中国普通外科杂志,2009,18(2):3-.
DOI:10.7659/j. issn.1005-6947.2009.02.003

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  • 在线发布日期: 2009-02-25