急性胆囊炎的早期胆囊切除术
Early cholecystectomy for acute cholecystitis.
作者信息
MacDonald J A
出版信息
Can Med Assoc J. 1974 Oct 19;111(8):796-9.
A series of 65 cases of acute cholecystitis from among 500 patients on whom cholecystectomy was performed by the author is presented. Early cholecystectomy was the operation of choice in 63 and cholecystostomy in two. The operative mortality for cholecystectomy was 1.6%; the postoperative morbidity was low and there were no serious complications such as common bile duct injury or biliary fistula. Operation for acute cholecystectomy is recommended within 48 hours of diagnosis to avoid serious complications such as perforation and suppurative cholangitis.
作者报告了其施行胆囊切除术的500例患者中的65例急性胆囊炎病例。63例患者首选早期胆囊切除术，2例患者行胆囊造口术。胆囊切除术的手术死亡率为1.6%；术后发病率较低，未出现诸如胆总管损伤或胆瘘等严重并发症。建议在诊断后48小时内进行急性胆囊炎手术，以避免出现诸如穿孔和化脓性胆管炎等严重并发症。
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