Clinical Evaluation of Early Laparoscopic Cholecystectomy and Delayed Laparoscopic Cholecystectomy for the Treatment of Patients with Acute Lithiasic Cholecystitis
摘要[目的]评估腹腔镜胆囊切除术(LC)治疗急性胆囊炎的手术时机及效果.[方法]回顾性分析92例LC治疗的急性胆囊炎患者的临床资料,以起病时间≤72h和>72h分为早期LC(ELC)和延迟LC(DLC)两组进行对比分析.[结果]两组间年龄,性别,手术时间[(89.12±37.59) min vs (77.31±25.65)min,P=0.058],术后住院时间[(4.8±3.13 )d vs (4.1±2.23) d,P=0.75],并发症发生率[16.0%(4/25 ) vs 13.43%(9/67),P=0.073]均无明显统计学差异;但与DLC组比较,ELC组中转开腹率明显降低[8.0% (2/25) vs 16.42% (11/67) ,P<0.01],总住院时间缩短(4.72 d vs 8.54 d,P<0.01).[结论]ELC治疗急性结石性胆囊炎安全有效.
