摘要
目的:探讨急性胆源性胰腺炎患者行腹腔镜下胆囊切除术(LC)手术时机选择的临床体会。方法:回顾性分析2010年1月-2017年1月LC治疗单纯性胆囊结石引起胆源性胰腺炎的临床资料,根据手术时间分为A组50例和B组50例。结果:A组为发病后3 d,B组为发病后14 d,两组均无死亡病例及术后并发症。其中中转开腹6例,微创手术成功率为94%。经术后随访1年,无胆管狭窄及胆道感染等并发症出现。从手术持续时间、中转开腹率及术中出血量等三方面研究分析,B组均优于A组。结论:急性胆源性胰腺炎经消炎、抑酶、抑酸、保肝、营养等补液支持治疗,血尿淀粉酶、转氨酶、胆红素等恢复正常后,尽早行LC可降低手术难度,缩短手术时间,减少术中出血量。
Objective ：To investigate the clinical experience of laparoscopic cholecystectomy （LC） in patients with acute biliary panereatitis. Methods-Retrospective analysis of clinical data from January 2010 to January 2017 LC treatment of biliary panereatitis caused by simple gallstones. According to the operation time, 50 patients in group A and 50 patients in group B were included. Results ： Group A was 3 days after onset, and group B was 14 days after onset. There were no deaths and postoperative complications in both groups. Among them, 6 eases were converted to open surgery, and the success rate of minimally invasive surgery was 94%. After 1 year of follow - up, no complications such as biliary stricture and biliary tract infection occurred. From the three aspects of the duration of surgery, the rate of conversion to open surgery and the amount of intraoperative blood loss, group B was superior to group A. Conclusion ： Acute biliary panereatitis is treated with anti - inflammatory, anti - enzyme, acid - suppressing, liver - protecting, nutritional and other fluid replacement therapy. After hematuria amylase, transaminase, bilirubin and other normalization, LC can reduce the difficulty of surgery and shorten the operation time. Reduce the amount of intraoperative blood loss.
作者
王存生
张晋岗
周树理
庞天骄
WANG Cunsheng;ZHANG Jingang;ZHOU Shuli;PANG Tianjiao(Laparoseopie Center of the Armed Police Shanxi Corps Hospital,Taiyuan 030006,China)
出处
《临床医药实践》
2018年第11期829-831,共3页
Proceeding of Clinical Medicine
关键词
胰腺炎
胆囊结石
腹腔镜手术
panereatitis
gallstone
laparoseopie surgery
