Mannam Raam, Sankara Narayanan Rajagopal, Bansal Arpit, Yanamaladoddi Vishnu R, Sarvepalli Sai Suseel, Vemula Shree Laya, Aramadaka Saikumar
General Surgery, Narayana Medical College, Nellore, IND.
Research, Narayana Medical College, Nellore, IND.
Cureus. 2023 Sep 21;15(9):e45704. doi: 10.7759/cureus.45704. eCollection 2023 Sep.
Cholecystectomy is a common surgical procedure performed worldwide for acute cholecystitis. Acute cholecystitis occurs when the cystic duct is obstructed by a gallstone, which causes gallbladder distension and subsequent inflammation of the gallbladder. Acute cholecystitis is characterized by pain in the right upper quadrant, anorexia, nausea, fever, and vomiting. Cholecystectomy is the treatment of choice for acute cholecystitis. The two commonly performed types of cholecystectomies are open cholecystectomy and laparoscopic cholecystectomy. However, the approach of choice widely fluctuates with regard to various factors such as patient history and surgeon preference. It is imperative to understand the variations in outcomes of different approaches and how best they fit an individual patient when deciding the technique to be undertaken. This article reviews several studies and compares the two techniques in terms of procedure, mortality rate, complication rate, bile leak/injury rate, conversion rate, and bleeding rate.
胆囊切除术是全球范围内针对急性胆囊炎实施的常见外科手术。当胆囊管被胆结石阻塞时，就会发生急性胆囊炎，这会导致胆囊扩张并随后引发胆囊炎症。急性胆囊炎的特征是右上腹疼痛、厌食、恶心、发热和呕吐。胆囊切除术是急性胆囊炎的首选治疗方法。两种常见的胆囊切除术类型是开腹胆囊切除术和腹腔镜胆囊切除术。然而，由于患者病史和外科医生偏好等各种因素，首选的手术方式差异很大。在决定采用何种技术时，必须了解不同手术方式的结果差异以及它们如何最适合个体患者。本文回顾了多项研究，并在手术过程、死亡率、并发症发生率、胆漏/损伤率、中转率和出血率方面对这两种技术进行了比较。
