早期与延迟腹腔镜胆囊切除术治疗急性胆囊炎的单中心经验。
Early vs. Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis - Single Center Experience.
机构信息
Clinic for General and Abdominal Surgery, University Clinical Center Republic Srpska, Banja Luka, Bosna i Hercegovina.
Private Clinic "Karabeg",Sarajevo, Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
出版信息
Med Arch. 2020 Feb;74(1):34-38. doi: 10.5455/medarh.2020.74.34-37.
INTRODUCTION
Laparoscopic cholecystectomy is now considered the procedure of choice that achieves a shorter recovery period after the surgery and reduction in the cost of treatment. Aim: The aim of the study is to prove which method: early or delayed laparoscopic cholecystectomy is the method of choice in the treatment of acute cholecystitis by examining: duration of hospitalization, conversion rate, duration of surgery, postoperative complications, and total cost.
METHODS
The study was conducted at the University Clinical Center of Republika Srpska as a retrospective-prospective study from May 1 2013 until December 31 2019. Patients diagnosed with acute cholecystitis were divided into two groups: Patients designated for early laparoscopic cholecystectomy within 72 hours of admission (group A-42 patients), Patients designated for initial conservative treatment followed by a delayed interval of 6-12 weeks until surgery (group B-42 patients).
RESULTS
In both groups, there were statistically significantly more female respondents. The results showed that the average cost of treatment in the early treated group was statistically significantly lower than the cost of treatment in the delayed treatment group. The patients in the early group had shorter hospitalization times (an average of 2.8 days and 5.6 days in the delayed group of patients), a smaller percentage of conversions (4.8% in the early and 16.7 in the delayed group of patients), the total cost of in the early group it was 1300.83 KM, while in the delayed group it was 1645.43 KM.
CONCLUSION
Early laparoscopic cholecystectomy is a method to be preferred in surgical treatment.
介绍
腹腔镜胆囊切除术现在被认为是首选的手术方式，它可以缩短手术后的恢复时间并降低治疗费用。目的：本研究旨在通过检查：住院时间、转化率、手术时间、术后并发症和总费用，证明早期或延迟腹腔镜胆囊切除术哪种方法是治疗急性胆囊炎的首选方法。
方法
该研究在塞族共和国临床中心进行，采用回顾性前瞻性研究，时间从 2013 年 5 月 1 日至 2019 年 12 月 31 日。将诊断为急性胆囊炎的患者分为两组：入院后 72 小时内接受早期腹腔镜胆囊切除术的患者（A 组-42 例），最初接受保守治疗，然后延迟 6-12 周手术的患者（B 组-42 例）。
结果
两组中女性患者比例均显著较高。结果表明，早期治疗组的平均治疗费用明显低于延迟治疗组。早期组患者的住院时间较短（平均 2.8 天和 5.6 天），转化率较低（早期组为 4.8%，延迟组为 16.7%），早期组的总费用为 1300.83 库纳，而延迟组为 1645.43 库纳。
结论
早期腹腔镜胆囊切除术是一种首选的手术治疗方法。
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