摘要
目的:探讨急诊腹腔镜在急性梗阻性化脓性胆管炎(AOSC)的疗效。方法:回顾分析2005～2008年应用腹腔镜治疗45例AOSC的治疗情况。结果:45例均获成功。手术时间62～178分钟(平均100.2分钟),住院10～18天(平均13天),术中出血54～515ml(平均89.5ml)。结论:AOSC病人应及时行急诊微创腹腔镜手术治疗,对降低急性重症胆管炎病人的死亡率有极重要的意义。
Purpose： discuss the curative effect of the emergency celioscope in acute obstructive suppurative cholangitis（AOSC）. Method： retrospectively analyze the treatment condition of 45 cases of acute obstructive suppurative eholangitis （AOSC） by applying celioscope from January 2005 to December 2008. Result：all 45 cases were successful. The surgerys last 62 - 178min （ the average time was 100.2min） ;hospitalization days ： 10 - 18 days （ the average time was 13 days） ; hemorrhage in operation 54 - 515ml （ the average was 89.5 ml ）. Conclusion ： the AOSC patients should be treated with emergently minimally invasive celioscope surgery,which has very important meaning in reducing the mortality of the acute serious eholangitis patients.
关键词
急性重症胆管炎
腹腔镜
微创外科
治疗
serious cholangitis
celloscope
minimally invasive surgery
treatment
