急性胆囊炎患者行腹腔镜胆囊切除术的时机选择

doi:10.16260/j.cnki.1009-2188.2017.05.005

Chinese Journal of Modern Operative Surgery

2017, Vol. 21

Issue (5): 340-343 DOI: 10.16260/j.cnki.1009-2188.2017.05.005

Clinical Research

Timing of Laparoscopic Cholecystectomy for Patients with Acute Cholecystitis

JIAO Lan-nong, ZHOU Shao-rong

Department of General Surgery, Taizhou Hospital of Traditional Chinese Medicine, Taizhou 225300, Jiangsu, China

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Abstract ObjectiveTo study the timing of laparoscopic cholecystectomy (LC) on clinical efficacy and safety in patients with acute cholecystitis.MethodsA total of 120 patients with acute cholecystitis who underwent laparoscopic cholecystectomy in our hospital from January 2015 to March 2017 were selected and divided into three groups according to the random number table. Among them, 40 patients in the early group were treated by laparoscopic cholecystectomy within 3 days. 40 cases in the deferred group received LC in 4~21 days after the onset of acute cholecystitis. And the other 40 patients of elective group were given conservative treatments before an implementation of surgery. The perioperative period, the rate of laparotomy and postoperative complications of the three groups were compared.ResultsThere was no significant difference in bleeding volume, ambulation time and anus exhaust time between the early group and the elective group (P>0.05). The bleeding volume in the early group and the elective group was significantly less than that of the deferred group (P<0.05). Operation time and hospitalization time in the early group were significantly shorter than that of the deferred and elective groups (P<0.05). The laparotomy rate was 22.5% in the deferred group, which was significantly higher than that of the early group and the selective group. The incidence of gastrointestinal injury, liver injury, infection, bile leakage and intestinal fistula in the three groups showed no significant difference (P>0.05).Conclusion Laparoscopic cholecystectomy in early stage (less than 3 d) is more effective in patients with acute cholecystitis, which can shorten operation time, reduce the laparotomy conversion rate and complications, and is beneficial to postoperative recovery.

Key words： acute cholecystitis laparoscopy cholecystectomy operation opportunity

Published: 25 May 2018

ZTFLH:

R657.4

Corresponding Authors: ZHOU Shao-rong

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	焦兰农，周绍荣

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焦兰农，周绍荣. Timing of Laparoscopic Cholecystectomy for Patients with Acute Cholecystitis[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(5): 340-343.

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http://www.surgerychina.com/EN/10.16260/j.cnki.1009-2188.2017.05.005 OR http://www.surgerychina.com/EN/Y2017/V21/I5/340

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