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目的探讨伴急性水肿性胰腺炎的胆囊结石实施腹腔镜胆囊切除术(LC)的方法及体会。方法回顾性分析我院2002年1月至2007年12月行LC治疗伴急性水肿性胰腺炎的胆囊结石26例的临床资料。结果26例均在急性水肿性胰腺炎发作后10~20 d,血尿淀粉酶正常7 d后成功实施LC,全部顺利康复,无并发症发生。结论对伴急性水肿性胰腺炎的胆囊结石患者,做好充分的围手术期处理,慎重选择病例,掌握手术时机,由有经验的医师仔细操作,可以取得良好的疗效。
Objective To investigate the method and experience of laparoscopic cholecystectomy (LC) for gallstone with acute edematous pancreatitis. Methods A retrospective analysis of our hospital from January 2002 to December 2007 LC treatment of acute cholangitis with gallbladder stones clinical data of 26 cases. Results All 26 cases were successfully treated with LC 10 ~ 20 days after onset of acute edematous pancreatitis and normal 7 days after hematuria amylase. All patients recovered successfully and no complication occurred. Conclusions In patients with gallbladder stone with acute edematous pancreatitis, adequate perioperative management, careful selection of cases, mastery of operation timing and careful operation by experienced physicians can achieve good curative effect.