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目的探讨急性胆囊炎行腹腔镜胆囊切除的手术时机。方法 64例急性胆囊炎按发病至手术时间分为早期手术组(72h 内)和延期手术组(72h 以后),比较两组中转开腹率、手术时间、术中出血量、术后腹腔引流量、胆漏发生率、死亡率和术后住院时间。结果早期手术组(30例)中转开腹率、平均手术时间、术中平均出血量与延期手术组(34例)相比均有显著性差异(P<0.01)。而两组在术后腹腔引流量、胆漏发生率、死亡率和术后住院时间等方面无显著性差异。结论急性胆囊炎发病早期行腹腔镜胆囊切除术是安全、可行的。
Objective To investigate the timing of laparoscopic cholecystectomy in patients with acute cholecystitis. Methods Sixty-four cases of acute cholecystitis were divided into two groups: early operation group (within 72h) and postoperative extension group (after 72h), the incidences of laparotomy, operation time, intraoperative blood loss, postoperative abdominal drainage , The incidence of bile leakage, mortality and postoperative hospital stay. Results The rate of laparotomy, mean operative time and intraoperative blood loss in early operation group (30 cases) were significantly different from those in delayed operation group (34 cases) (P <0.01). There was no significant difference between the two groups in postoperative abdominal drainage, incidence of bile leakage, mortality and postoperative hospital stay. Conclusion The early onset of acute cholecystitis laparoscopic cholecystectomy is safe and feasible.