Study on the risk factors for laparoscopic cholecystectomy for acute cholecystitis

KONG Xianbing; et al

doi:10.13406/j.cnki.cyxb.2004.01.027

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Study on the risk factors for laparoscopic cholecystectomy for acute cholecystitis

更新时间：2024-01-17

- Study on the risk factors for laparoscopic cholecystectomy for acute cholecystitis
- Journal of Chongqing Medical University Issue 1, Pages: 86-88(2004)
- 作者机构：
  
  1. 重庆医科大学临床学院普外科
  2. 重庆医科大学临床学院普外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.01.027
  CLC： R657.4
- Published：2004，
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[1]孔宪炳,罗放,王济明,张才全.急性胆囊炎腹腔镜胆囊切除术危险因素探讨[J].重庆医科大学学报,2004(01):86-88.

KONG Xianbing, et al. Study on the risk factors for laparoscopic cholecystectomy for acute cholecystitis. [J]. Journal of Chongqing Medical University (1):86-88(2004)
[1]孔宪炳,罗放,王济明,张才全.急性胆囊炎腹腔镜胆囊切除术危险因素探讨[J].重庆医科大学学报,2004(01):86-88. DOI： 10.13406/j.cnki.cyxb.2004.01.027.

KONG Xianbing, et al. Study on the risk factors for laparoscopic cholecystectomy for acute cholecystitis. [J]. Journal of Chongqing Medical University (1):86-88(2004) DOI： 10.13406/j.cnki.cyxb.2004.01.027.

摘要

目的 :探讨急性胆囊炎腹腔镜胆囊切除术（LC）的危险因素。方法 :采用非条件Logistic回归（forward）对 15 3例急性胆囊炎LC的临床指标进行多因素分析。结果 :本组 15 3例病人中 12 5例LC成功

2 8例中转开腹（18.30 % ）。急性胆囊炎LC失败的危险因素有上腹部手术史或发作史

右上腹肌紧张

白细胞增高

胆囊管结石嵌顿

胆囊图象缺失

发病超过 72h。术中发现胆囊三角致密粘连

解剖结构不清

是中转开腹的绝对指征。结论 :急性胆囊炎LC的危险因素计分有助于外科医生在术前对病人进行全面评估

以提高LC的成功率

减少并发症的发生。

Abstract

Objective:To explore the risk factors for laparoscopic cholecystectomy (LC) for acute cholecystitis.Methods:The LC clinical data on 153 patients with acute cholecystitis were summarized and analyzed by stepwise logistic regression(forward).Results:It was found that among the 153 cases of acute cholecystitis

125 underwent laparoscopic cholecystectomy successfully and 28(18.30%) had conversion to open cholecystectomy.The risk factors for unsuccessful LC in acute cholecystitis included previous upper abdominal operation or recurrence history

rigidity in right upper abdomen

leukocytosis

stone incarceration on the neck of the gallbladder and no visualization of the gallbladder sonographically

more than 72 hours of onset of symptomatic cholelithiasis.In addition

conversion to open cholecystectomy should be made unconditionally

once intensive dense adhesion and unclear discrimination of Calot′s triangle happened for the duration of LC.Conclusion:The risk score for LC in acute cholecystitis in the study is helpful for evaluating completely the patients of LC before operation

and for increasing success rate and decreasing complication incidence of LC.

关键词

急性胆囊炎腹腔镜胆囊切除术危险因素

Keywords

Acute cholecystitislaparoscopic cholecystectomyrisk factor

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