急性坏疽性胆囊炎39例诊疗分析

doi:10.3969/j.issn.2095-378X.2021.01.011

Abstract

Abstract: Objective To investigate the diagnosis of acute gangrenous cholecystitis and the effect of laparoscopy. Methods The clinical data of 39 cases of gangrenous cholecystitis treated from January 2017 to December 2019 were collected, and their diagnostic methods, surgical methods, and diagnosis and treatment results were analyzed. Results A total of 4365 cases of laparoscopic cholecystectomy （LC） were performed, of which 39 cases were diagnosed with gangrenous cholecystitis, accounting for 0.9% of total LC. Thirty-one of the 39 cases of gangrenous cholecystitis successfully underwent LC, 7 cases were converted to open cholecystectomy （OC） due to obscure anatomy at the triangle of the gallbladder, and 1 elderly patient with cardiopulmonary dysfunction underwent OC. Conclusion The diagnosis of gangrenous cholecystitis is difficult before operation. Ultrasound and upper abdominal CT examinations are effective methods to improve preoperative diagnosis rate. LC can safely treat most gangrenous cholecystitis, and in-time OC is suggested in case of severe adhesions and LC intolerance.

Key words: Acute gangrenous cholecystitis, Laparoscopic cholecystectomy, Diagnosis and treatment

CLC Number:

R657.4⁺2

LIU Nanbin, XU Yan, WEI Yuhua, LIU Zhongyan, CHEN Quanning, SHI Baomin. Analysis on diagnosis and treatment of 39 cases of acute gangrenous cholecystitis[J]. Surgical Research and New Technique, 2021, 10(1): 37-41.

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Analysis on diagnosis and treatment of 39 cases of acute gangrenous cholecystitis

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