黄色肉芽肿性胆囊炎的外科治疗：74例报告
Surgical treatment for xanthogranulomatous cholecystitis: a report of 74 cases.
作者信息
Wang Mingliang, Zhang Tao, Zang Lu, Lu Aiguo, Mao Zhihai, Li Jianwen, Dong Feng, Hu Weiguo, Jiang Yu, Zheng Minhua
机构信息
Department of Surgery, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai Minimally Invasive Surgery Centre, Shanghai, PR China.
出版信息
Surg Laparosc Endosc Percutan Tech. 2009 Jun;19(3):231-3. doi: 10.1097/SLE.0b013e3181a822f8.
AIMS
To be more aware of the presence of xanthogranulomatous cholecystitis (XGC) and find a better surgical measure of its treatment.
METHODS
Data from 74 cases of XGC treated between May 1996 and May 2008 at our hospital were retrospectively analyzed and reported here. Laparoscopic and laparotomy group were compared with respect to operative time, postoperative hospital stay, postoperative complication, etc.
RESULTS
In the 74 cases, 47 underwent laparoscopic surgery, the rest 27 underwent laparotomy surgery. The mean operative time of laparotomy and laparoscopic cases were 113.9 minutes and 69.4 minutes, respectively, which shows statistically significant difference between the 2 groups (P<0.01). The postoperative hospital stay of the laparotomy and laparoscopic group is 18.3 days and 8.66 days, respectively (P<0.01). The converting rate of the laparoscopic group is 10.6%.
CONCLUSIONS
Surgical treatment remains the most effective and feasible option for XGC.
目的
提高对黄色肉芽肿性胆囊炎（XGC）的认识，并找到更好的手术治疗方法。
方法
回顾性分析并报告我院1996年5月至2008年5月间治疗的74例XGC患者的数据。比较腹腔镜手术组和开腹手术组的手术时间、术后住院时间、术后并发症等情况。
结果
74例患者中，47例行腹腔镜手术，其余27例行开腹手术。开腹手术组和腹腔镜手术组的平均手术时间分别为113.9分钟和69.4分钟，两组间差异有统计学意义（P<0.01）。开腹手术组和腹腔镜手术组的术后住院时间分别为18.3天和8.66天（P<0.01）。腹腔镜手术组的中转开腹率为10.6%。
结论
手术治疗仍是XGC最有效、可行的选择。
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