标题:
浆膜下剥离术在严重急性胆囊炎LC术中的应用研究The Study of the Subserosal Decollement in LC for the Severe Acute Cholecystitis
作者:
陈生贵, 黄琼芳, 李劲, 张乙川, 王俊, 齐锐, 杨茂辉, 徐杰
关键字:
浆膜下剥离术, LC术, 胆囊结石, 急性胆囊炎, 非结石性胆囊炎The Subserosal Decollement, LC, The Gallstone, The Acute Cholecystitis, The Non Calculous
Gangrenous Cholecystitis
期刊名称:
《Hans Journal of Surgery》, Vol.5 No.2, 2016-05-27
摘要:
目的：探讨浆膜下剥离术在严重急性胆囊炎LC术中的应用价值。方法：回顾性分析我院2006年9月至2015年11月间198例严重急性胆囊炎病人(包括急性结石性化脓性胆囊炎，结石性坏疽性胆囊炎，非结石性化脓性胆囊炎，非结石性坏疽性胆囊炎及胆囊穿孔)，对照组(2006年9月至2011年9月)采用常规LC治疗的病人98例与治疗组(2011年9月至2015年11月)行浆膜下剥离术100例，比较二组手术时间、术中出血量、引流管保留时间、住院时间、中转开腹率等指标。结果：治疗组手术时间85.0 ± 32.3 min显著少于对照组128.0 ± 46.5 min，P
Objective: To investigate the clinical effect of the subserosal decollement in LC for the severe acute cholecystitis. Methods: 198 patients bearded severe acute cholecystitis were retrospectively analyzed in our hospital from September 2006 to November 2006, including the acute calculous pyogenic cholecystitis, the acute calculous gangrenous cholecystitis, the acute urinary calculus pyogenic cholecystitis, the acute non calculous gangrenous cholecystitis and the perforation of gall- bladder. The control group with 98 patients (September 2006 to September 2011 in our hospital) were treated by normal LC. The treated group with 100 patients (September 2011 to November 2015 in our hospital) were treated by the subserosal decollement in LC. Then we compared the operation time, the bleeding, the rate of open cholecystectomy, the LOS (length of stay), and the time of keeping drainage tube in the two groups. Results: The operation time in the treated group was 85.0 ± 32.3 min, and in the control group was 128.0 ± 46.5 min, P