不同手术时机腹腔镜胆囊切除术治疗急性结石性胆囊炎的效果比较

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Abstract Objective To explore the results of laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis at different operation times.Methods The data of 82 patients with acute calculous cholecystitis undergone laparoscopic resection in our hospital from February 2016 to February 2017 were retrospectively analyzed.They were grouped according to different surgical timings.In group A(n=44),the surgery was performed within 72 hours after onset,while in group B (n=38),the laparoscopic cholecystectomy was performed over 72 hours after onset.The therapeutic effect was analyzed.Results The postoperative exhaust time and average hospitalization time in group A were shorter than those in group B,the differences were statistically significant(P<0.05).The complication rates of patients in group A were lower than those in group B,and the difference was statistically significant(P<0.05).The conversion rate to laparotomy of patients in group A was(2.27%[1/44])lower than that in group B (15.79%[6/38]),and the difference was statistically significant(χ2=4.771,P=0.029<0.05).Conclusion For patients with acute calculous cholecystitis,performace of laparoscopic cholecystectomy within 72 hours of onset has advantages of few complications,high safety,promotion of postoperative recovery,and decrease of conversion to laparotomy rate.

Key words： Laparoscopic cholecystectomy Acute calculous cholecystitis Operation timing Complications

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	LI Wen-di
	BAO Han-kang

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LI Wen-di,BAO Han-kang. Effect comparison of laparoscopic cholecystectomy for the treatment of acute calculous cholecystitis at different operation timing[J]. 中国当代医药, 2018, 25(15): 40-42.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I15/40

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