Zhang Xing-Diao, Wang Xiang-Xiang, Xiong Jie, Liu Ming-Zhong
Department of General Surgery, Dazhou Central Hospital, Dazhou, Sichuan Province, China.
J Minim Access Surg. 2023 Jan-Mar;19(1):80-84. doi: 10.4103/jmas.jmas_227_21.
We herein present our clinical experience in laparoscopic surgery for gallbladder perforation (GBP).
Retrospective analysis was performed on the clinical data of 44 patients who diagnosed with GBP from January 2015 to November 2020.
The mean age of the 44 patients was 64.0 years and the female-to-male ratio was 20:24. The most common type of GBP was Type II, followed by Type I and Type III (31:9:4). 72.7% of the patients were diagnosed with GBP at the time of surgery. Laparoscopic surgery was performed for 38 (86.4%) patients, with a conversion rate of 13.2%. The mean length of hospital stays was 7.8 days. The mortality and morbidity rates were 2.3% and 11.4%, respectively.
Pre-operative diagnosis of GBP is difficult. Laparoscopic surgery is safe, feasible and effective for patients with GBP.
本文介绍我们在腹腔镜胆囊穿孔（GBP）手术方面的临床经验。
对2015年1月至2020年11月期间诊断为GBP的44例患者的临床资料进行回顾性分析。
44例患者的平均年龄为64.0岁，男女比例为20:24。GBP最常见的类型为II型，其次是I型和III型（31:9:4）。72.7%的患者在手术时被诊断为GBP。38例（86.4%）患者接受了腹腔镜手术，中转率为13.2%。平均住院时间为7.8天。死亡率和发病率分别为2.3%和11.4%。
GBP的术前诊断困难。腹腔镜手术对GBP患者安全、可行且有效。
