中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2015年
3期
215-218
,共4页
魏峰%武永东%尹文利%李永禄
魏峰%武永東%尹文利%李永祿
위봉%무영동%윤문리%리영록
无结石性胆囊炎%胆囊切除术,腹腔镜%多处创伤
無結石性膽囊炎%膽囊切除術,腹腔鏡%多處創傷
무결석성담낭염%담낭절제술,복강경%다처창상
Acalculous cholecystitis%Cholecystectomy,laparoscopic%Multiple trauma
目的 探讨腹腔镜在创伤后急性非结石性胆囊炎(acute acalculous cholecystitis,AAC)治疗中的应用价值.方法 回顾性分析本院近5年腹腔镜手术治疗14例AAC患者的临床资料及手术过程.结果 14例患者均首先行腹腔镜探查,其中9例行腹腔镜胆囊切除术(64％),3例行腹腔镜胆囊部分切除术(22％),2例中转开腹胆囊切除术(14％),本组均未出现胆管损伤等并发症.结论 腹腔镜治疗AAC具有创伤小、恢复快等优点,为复杂性胆囊炎患者提供了一种相对安全有效的手术方式.
目的 探討腹腔鏡在創傷後急性非結石性膽囊炎(acute acalculous cholecystitis,AAC)治療中的應用價值.方法 迴顧性分析本院近5年腹腔鏡手術治療14例AAC患者的臨床資料及手術過程.結果 14例患者均首先行腹腔鏡探查,其中9例行腹腔鏡膽囊切除術(64％),3例行腹腔鏡膽囊部分切除術(22％),2例中轉開腹膽囊切除術(14％),本組均未齣現膽管損傷等併髮癥.結論 腹腔鏡治療AAC具有創傷小、恢複快等優點,為複雜性膽囊炎患者提供瞭一種相對安全有效的手術方式.
목적 탐토복강경재창상후급성비결석성담낭염(acute acalculous cholecystitis,AAC)치료중적응용개치.방법 회고성분석본원근5년복강경수술치료14례AAC환자적림상자료급수술과정.결과 14례환자균수선행복강경탐사,기중9례행복강경담낭절제술(64％),3례행복강경담낭부분절제술(22％),2례중전개복담낭절제술(14％),본조균미출현담관손상등병발증.결론 복강경치료AAC구유창상소、회복쾌등우점,위복잡성담낭염환자제공료일충상대안전유효적수술방식.
Objective To investigate laparoscopic management in patients of posttraumatic acute acaleulous cholecystitis (AAC).Methods In this study,laparoscopic exploration was performed in 14 AAC cases during the past 5 years.Results Nine patients were treated with laparoscopic cholecystectomy,three by laparoscopic subtotal cholecystectomy,two were converted to open surgery.All patients were cured without major complications.Conclusions Laparoscopic cholecystectomy in the treatment of AAC is safe,less traumatic and quickly recovery in carefully selected AAC patients.
