CAJ | 학술논문

目的比较胆囊结石在静息期及急性期行腹腔镜胆囊切除术(LC)的疗效.方法 146例胆囊结石患者行LC,其中静息期94例,急性期52例,分别观察其手术时间、术中出血、中转开腹率、并发症发生率及住院时间.结果静息组行LC的手术时间、术中出血明显短(少)于急性组,而中转开腹率、并发症发生率及术后住院时间比较差异无统计学意义(P＞0.05).结论胆囊结石无论在静息期或急性期行LC均是安全的,然而考虑到急性期或多次胆绞痛发作后手术难度增大,对于有反复胆绞痛发作史的胆囊结石患者建议在静息期尽早手术.
목적 비교담낭결석재정식기급급성기행복강경담낭절제술(LC)적료효.방법 146례담낭결석환자행LC,기중정식기94례,급성기52례,분별관찰기수술시간、술중출혈、중전개복솔、병발증발생솔급주원시간.결과 정식조행LC적수술시간、술중출혈명현단(소)우급성조,이중전개복솔、병발증발생솔급술후주원시간비교차이무통계학의의(P＞0.05).결론 담낭결석무론재정식기혹급성기행LC균시안전적,연이고필도급성기혹다차담교통발작후수술난도증대,대우유반복담교통발작사적담낭결석환자건의재정식기진조수술.
Objective To compare the curative effect of laparoscopic cholecystectomy in resting cholecystolithiasis and acute cholecystolithiasis.Methods One hundred and forty - six cases of cholecystolithiasis underwent laparoscopic cholecystectomy,including 94 cases of resting phase,52 cases of acute phase.They were compared in operating time,intraoperatie bleeding,the open surgery rate,the correlated complication incidence rate and the time of hospitalization.Results The resting group took less operating time,had less bleeding,but there was no difference in the open surgery rate,the correlated complication incidence rate or the time of hospitalization between the two groups.Conclusions It is safe to take laparoscopic cholecystomy both in resting and acute cholecystolithiasis.While in consideration of the higher operation difficulty in acute cases and those who have been suffering from colicky pain of gall bladder for several times before,patients with these situations should take LC earlier in their resting phase.