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[不同类型胆囊切除术治疗慢性胆囊炎的疗效]

[The efficacy of different types of cholecystectomy for chronic cholecystitis].

作者信息

Grubnik V V, Mel'nichenko Iu A, Il'iashenko V V, Gerasimov D V, Shandra P

出版信息

Klin Khir (1962). 1994(9):5-8.

PMID:7602949
Abstract

The results of surgical treatment of 193 patients with chronic calculous cholecystitis were analyzed. In 89 of then the ordinary cholecystectomy (OC) was conducted, in 48--cholecystectomy through the minilaparotomy access (MC), in 56--laparoscopic cholecystectomy (LC). After OC conduction the incidence of postoperative complications was the greatest. After LC conduction the complications appeared in 5 patients, they started to stand up and walk on the second day, the majority of them were discharged from the hospital in 2 days. The hospital stay duration after LC conduction was (3.8 + 1.5) days on the average, while after MC and OC-(6.2 + 1.5) and (12.4 + 2.3) days accordingly. Essential advantage of LC over OC and MC was determined.

摘要

分析了193例慢性结石性胆囊炎患者的手术治疗结果。其中89例行普通胆囊切除术(OC),48例行经小切口剖腹胆囊切除术(MC),56例行腹腔镜胆囊切除术(LC)。实施OC后术后并发症发生率最高。实施LC后有5例出现并发症,患者在术后第二天即可起床行走,大多数患者在2天内出院。LC术后平均住院时间为(3.8±1.5)天,而MC和OC术后分别为(6.2±1.5)天和(12.4±2.3)天。确定了LC相对于OC和MC的显著优势。

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