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
胆囊切除术,腹腔镜;急性胰腺炎;胆囊结石,,胆囊切除术,腹腔镜;急性胰腺炎;胆囊结石,1资料与方法,2结果,3讨论,参考文献：
【摘要】 目的：探讨腹腔镜胆囊切除术(LC)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：采用剖腹探查和先保守治疗再行LC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LC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LC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：LC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】 胆囊切除术,腹腔镜;急性胰腺炎;胆囊结石
laparoscopic cholecystomy in the treatment of acute pancreatitis with gallbladder stones
ZHOU Feidu,Xiao Bo.
Dept.of General Surgery,Liuyang City People's Hospital,Hunan 410300,China
【Abstract】 Objective:To explore the minimal invasiveeffection and clinical feasibility of laparoscopic cholecystectomy in the treatment of acute pancreatitis with gallbladder stones.Methods:The clinical data of 66 cases received open abdomen exploration and laparoscopic cholecystectomy to treat acute pancreatitis with gallbadder stones was analyzed retrospectively among whom 32 cases had traditional means and the other 34 cases were conservatively treated at first and underwent laparoscopic cholecystectomy two weeks later after the enzymes of pancreatitis had been normal. Results:2 cases had incision infection and 5 cases suffered from adhesive intestinal obstruction in open abdomen exploration group,the negative result rate in common bile duct exploration was 96.9%;1 case had incision infection in the laparoscopic cholecystectomy group,and no adhesive intestinal obstruction was found.Conclusion:Laparoscopic cholecystomy is minimal invasion and feasible in the treatment of acute pancreatitis with gallbaldder stones. ......
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