CAJ | 학술논문

目的探讨腹腔镜胆囊切除术﹙LC﹚与小切口胆囊切除术﹙MC﹚治疗肥胖病人急性胆囊炎的手术效果。方法前瞻性分析我院2006年4月—2009年11月共120例肥胖病人急性胆囊炎行胆囊切除术的临床资料，随机分成两组，比较两种术式之间的差异。结果 LC组患者在切口并发症、术中出血量、手术时间、术后住院时间、术后首次肛门排气时间均优于MC组，住院费用与MC组相接近。结论 LC相对于MC治疗肥胖病人急性胆囊炎，具有创伤小、恢复快、切口并发症少、术中出血少、术后住院时间短等优点，是较理想的手术方式。
목적탐토복강경담낭절제술﹙LC﹚여소절구담낭절제술﹙MC﹚치료비반병인급성담낭염적수술효과。방법전첨성분석아원2006년4월—2009년11월공120례비반병인급성담낭염행담낭절제술적림상자료，수궤분성량조，비교량충술식지간적차이。결과 LC조환자재절구병발증、술중출혈량、수술시간、술후주원시간、술후수차항문배기시간균우우MC조，주원비용여MC조상접근。결론 LC상대우MC치료비반병인급성담낭염，구유창상소、회복쾌、절구병발증소、술중출혈소、술후주원시간단등우점，시교이상적수술방식。
Objective To investigate the effect of laparoscopic cholecystectomy (LC) and minilaparotomy cholecystectomy (MC) in Obese patients with acute cholecystitis. Methods A forward-looking analysis was performed on the clinical data of 120 obese patinents with acute cholecysticis form April 2006 to November 2009 who were operated. These patients were randomized into two groups to compare the difference of these two operation methods. Results LC group was better than MC group in incision complications,bleeding volume during operation,operative time,postoperative length of stay in hospital,cost for hospitalization and anal first time after exhaust.There was no significant difference in hospitalization cost. Conclusion Comperared with OC ,LC is a more popular choice for the obese patients with appendicitis because of its advantages of minimal invasion ,early recovery ,few complications,less bleeding during operation and short hospital stay.