The Study of the Subserosal Decollement in LC for the Severe Acute Cholecystitis
Abstract: Objective: To investigate the clinical effect of the subserosal decollement in LC for the severe acute cholecystitis. Methods: 198 patients bearded severe acute cholecystitis were retrospectively analyzed in our hospital from September 2006 to November 2006, including the acute calculous pyogenic cholecystitis, the acute calculous gangrenous cholecystitis, the acute urinary calculus pyogenic cholecystitis, the acute non calculous gangrenous cholecystitis and the perforation of gall- bladder. The control group with 98 patients (September 2006 to September 2011 in our hospital) were treated by normal LC. The treated group with 100 patients (September 2011 to November 2015 in our hospital) were treated by the subserosal decollement in LC. Then we compared the operation time, the bleeding, the rate of open cholecystectomy, the LOS (length of stay), and the time of keeping drainage tube in the two groups. Results: The operation time in the treated group was 85.0 ± 32.3 min, and in the control group was 128.0 ± 46.5 min, P < 0.001. The bleeding in the treated group was 42.0 ± 23.6 ml, and in the control group was 65.0 ± 36.5 ml, P < 0.001. The time of keeping the drainage tube, in the treated group was 2.0 ± 0.5 d, and in the control group was 3.0 ± 0.8 d, P < 0.001. The LOS after operation, in the treated group was 4.0 ± 0.7 d, and in the control group was 5.0 ± 1.8 d, P < 0.001. The open holecystectomy, in the treated group was 2 patients, and in the control group was 9 patients, P < 0.05. Conclusions: The subserosal decollement is simple, little injury to liver; it can reduce the hemorrhage and shorten operation time. It is a good choice in LC for the severe acute cholecystitis.
文章引用: 陈生贵 , 黄琼芳 , 李 劲 , 张乙川 , 王 俊 , 齐 锐 , 杨茂辉 , 徐 杰 (2016) 浆膜下剥离术在严重急性胆囊炎LC术中的应用研究。 外科， 5， 39-43. doi: 10.12677/HJS.2016.52006
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