| 摘要 |
Laparoscopy has become the preferred approach for cholecystectomy in the majority of patients. Most of the articles discussed laparoscopic cholecystectomy (L.C) for acute cholecystitis, chronic cholecystitis and symptomatic gallstones, but very few articles presented this only with gangrenous cholecysititis. This study reviews our experience with laproscopic cholecystectomy for gangrenous cholecystitis. Forty consecutive gangrenous cholecystitis patients underwent L.C. The conversion rate from L.C to open cholecystectomy was 25%; postoperative complication was 7% in the L/C group. There was no surgical mortality in this study.
Patients were divided into two groups, the L.C group and the converted group. Comparison of peri-operative indexes such as age, frequency of symptom attack, white blood cell counts, and timing of operation in these two groups showed no significant statistical difference, except operation time and length of hospital stay. In conclusion, L.C is a better choice for the treatment of gangrenous cholecystitis. This could decrease the length of surgery and hospital stay. However, none of the peri-operative indexes can predict the severity of this disease, timing of surgery, and chances of success of treatment with L.C. |
