标题：轻型急性胆源性胰腺炎一期行腹腔镜胆囊切除术可行性及安全性观察

      作者：冯延平，史东利    (北京市顺义区医院普外一科，北京 101300)

      卷次： 2017年28卷7期

      【摘要】 目的 观察轻型急性胆源性胰腺炎(MABP) 患者一期行腹腔镜胆囊切除术的可行性及安全性。方法 将我院 2015年 1~12月一期行腹腔镜胆囊切除术的 32例MABP患者设为观察组；同期有MABP病史，经对症治疗病情缓解出院，2~6周再次入院行腹腔镜胆囊切除术的 29例患者设为对照组，比较两组患者的手术时间、住院总时间、术后肛门排气时间、治疗费用、术后并发症及复发情况。结果 两组患者的平均手术时间、术后肛门排气时间比较差异均无统计学意义(P>0.05)；观察患者人均总住院时间为(12.06±1.63) d，明显短于对照组的(31.62±5.14) d，人均治疗费用为(8 792.43±183.27)元，明显低于对照组的(19 037.66±208.54)元，差异均有统计学意义(P<0.05)；观察组患者术后并发症发生率为 3.13%；对照组为 0；两组术后并发症发生率比较差异无统计学意义(P>0.05)；两组患者术后均随访12个月，无一例复发。结论 MABP患者一期行腹腔镜胆囊切除术安全可行，且可缩短住院时间，节省医疗费用。
      【关键词】 轻型急性胆源性胰腺炎；腹腔镜胆囊切除术；可行性；安全性
      【中图分类号】 R657.5+1 【文献标识码】 A 【文章编号】 1003—6350（2017）07—1154—03

Feasibility and safety of laparoscopic cholecystectomy in patients with stage I mild acute biliary pancreatitis.FENG Yan-ping, SHI Dong-li.
Department of General Surgery, the Hospital of Shunyi District of Beijing, Beijing 101300,CHINA
【Abstract】 Objective To observe the feasibility and safety of laparoscopic cholecystectomy (LC) in patientswith stage I mild acute biliary pancreatitis (MABP). Methods A total of 32 patients with stage I MABP, who under-went laparoscopic cholecystectomy from January 2015 to December 2015, were selected as the observation group. At thesame time, 29 patients who had a history of MABP, discharged after remission with the symptomatic treatment andagain underwent LC for readmission after 2~6 weeks, were chosen as the control group. The operative time, hospitaliza-tion time, postoperative anal exhaust time, treatment cost, postoperative complications, and recurrence were comparedbetween the two groups. Results There were no significant differences in the average operation time and postoperativeanal exhaust time between the two groups (P>0.05). The total hospitalization time and treatment cost of the observationgroup were respectively (12.06±1.63) d and (8 792.43±183.27) yuan, which were significantly lower than (31.62±5.14)d and (19 037.66±208.54) yuan of the control group (P<0.05). There was no significant difference in the incidence ofpostoperative complications between the observation group (3.13%) and the control group (0) (P>0.05). The two groupswere followed up for 12 months, and no recurrence was observed. Conclusion LC is safe and feasible for the patientswith stage I MABP, which can also shorten the hospitalization time and save medical costs.
      【Key words】 Mild acute biliary pancreatitis (MABP); Laparoscopic cholecystectomy (LC); Feasibility; Safety·临床经验·doi:10.3969/j.issn.1003-6350.2017.07.043