腹腔镜胆囊切除术在治疗急性胰腺炎合并胆囊结石中的应用体会
腹腔镜胆囊切除术;急性胰腺炎;胆囊结石,,腹腔镜胆囊切除术;急性胰腺炎;胆囊结石,1一般资料,2讨论,参考文献：
【摘要】 目的：探讨腹腔镜胆囊切除术在治疗急性胰腺炎合并胆囊结石中的微创意义和临床可行性。方法：本院1997-2004年采用剖腹探查和先保守治疗再行腹腔镜胆囊切除治疗急性胰腺炎合并胆囊结石66例，其中 32例行急诊剖腹胆囊切除胆总管探查和胰包膜切开引流术，34例先行保守治疗，待酶学正常两周后再行择期腹腔镜胆囊切除术。结果：66例全部治愈， 剖腹探查组有2例切口感染，5例粘连性肠梗阻,探查胆总管结石阴性率96.9%；保守治疗后再行腹腔镜胆囊切除治疗组1例切口感染，无粘连性肠梗阻，随访1-3年，无胰腺炎复发。结论：腹腔镜胆囊切除术可应用于轻症急性胰腺炎合并胆囊结石的治疗，并具有微创意义。【关键词】 腹腔镜胆囊切除术;急性胰腺炎;胆囊结石
laparoscopic cholecystomy on the treatment of acute pancreatitis with gallbadder stones
ZHOU FEIDU Xiao Bo
Dept.of General Surgery,Liuyang City People's Hospital,Hunan 410300
【Abstract】 Objective:To explore the minimal invasivement and clinical feasibility of the laparoscopic cholecystomy on the treatment of acute pancreatitis with gallbadder stones.Methods:the clinical data of open abdomen exploration and laparoscopic cholecystomy to treat acute pancreatitis with gallbadder stones was analyzed retrospectively(32 cases had treated by traditional means;the other 34cases had beeen conservatively treated at first and by laparoscopic cholecystomy two weeks later after the enymes of pancreatitis had been normal.) .Results:2 cases incision infection and 5 cases adhesive intestinal obstruction in open abdomen exploration group,the negative in common bile duct expioration was 96.9%;1 case incision infection in the laparoscopic cholecystomy group,no adhesive intestinal obstruction.Conclusion:the laparoscopic cholecystomy is minimai invasion and feasible on the treatment of acute pancreatitis with gallbadder stones. ......
您现在查看是摘要页，全文长 6650 字符。