Hussain Muhammad I, Khan Abul-Fazal A
Department of General Surgery (37) RMC Group, King Khalid University Hospital, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia.
Saudi Med J. 2006 May;27(5):657-60.
To evaluate and compare the outcome of laparoscopic cholecystectomy (LC) in acute and chronic cholecystitis in terms of complications, conversion rates, reason of conversion and hospital stay.
Between April 1999 and March 2004, we retrospectively evaluated all patients admitted for symptomatic gall bladder disease in the Department of General Surgery, Lahore General Hospital, Lahore, Pakistan. All patients who underwent LC for symptomatic cholelithiasis were included. They were classified as group A [having acute cholecystitis (AC)] and group B [with chronic cholecystitis (CC)] based on the operative findings and histological diagnosis.
Out of 725 patients who underwent LC, 173 patients were included in group A and 552 patients in group B. Conversion rate was 6% for group A and O.7% for group B (p<0.0001). Two patients (0.3%) in group B, while one patient (0.5%) in group A sustained bile duct injury (p>0.05). Two patients (1.1%) in group A and 4 patients (0.7%) in group B developed sub-hepatic bile collections (p>0.05). The mean hospital stay was 1.2 +/- 1.1 days for group A and 1.7 +/- 2.1 days for group B (p<0.001).
Laparoscopic cholecystectomy is a safe and effective procedure in almost all patients presenting with symptomatic cholelithiasis.
从并发症、中转率、中转原因及住院时间方面评估和比较急性与慢性胆囊炎患者行腹腔镜胆囊切除术（LC）的结果。
1999年4月至2004年3月期间，我们对巴基斯坦拉合尔拉合尔总医院普通外科收治的所有有症状胆囊疾病患者进行了回顾性评估。纳入所有因有症状胆石症而行LC的患者。根据手术发现和组织学诊断将他们分为A组（患有急性胆囊炎（AC））和B组（患有慢性胆囊炎（CC））。
在725例行LC的患者中，A组纳入173例患者，B组纳入552例患者。A组中转率为6%，B组为0.7%（p<0.0001）。B组有2例患者（0.3%），而A组有1例患者（0.5%）发生胆管损伤（p>0.05）。A组有2例患者（1.1%），B组有4例患者（0.7%）出现肝下胆汁积聚（p>0.05）。A组平均住院时间为1.2±1.1天，B组为1.7±2.1天（p<0.001）。
对于几乎所有有症状胆石症患者，腹腔镜胆囊切除术都是一种安全有效的手术。
