查詢結果分析
來源資料
相關文獻
- The Role of Laparoscopic Cholecystectomy in Treating Gangrenous Cholecystitis
- 腹腔鏡膽囊切除術
- 腹腔鏡膽囊切除術之膽道相關併發症
- Management of Biliary Calculus Diseases
- 非充氣式腹腔鏡膽囊切除術
- Effect of Oral Clonidine Premedication on Perioperative Hemodynamic Response and Postoperative Analgesic Requirement for Patients Undergoing Laparoscopic Cholecystectomy
- 以腹腔鏡膽囊切除術治療急性膽囊炎
- 腹腔鏡膽囊切除術在膽囊息肉處理上的角色
- Endoscopic Stenting in the Treatment of Bile Leakage after Laparoscopic Cholecystectomy
- Percutaneous Transhepatic Gallbladder Drainage Followed by Laparoscopic Cholecystectomy for Acute Cholecystitis
頁籤選單縮合
題名 | The Role of Laparoscopic Cholecystectomy in Treating Gangrenous Cholecystitis=腹腔鏡膽囊切除術治療壞死性膽囊炎之角色 |
---|---|
作者 | 張宏基; 陳守棟; 郭守仁; 楊力術; 陳堯俐; 虞希堯; 詹賜貳; Chang, Hung-chi; Chen, Shou-tung; Kuo, Shou-jen; Yang, Li Heng; Chen, Yao-li; Yu, Shi-yau; Chan, Szu-erh; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19990700、19990800 |
卷期 | 32:4 民88.07-08 |
頁次 | 頁160-164 |
分類號 | 416.247 |
語文 | eng |
關鍵詞 | 腹腔鏡膽囊切除術; 壞死性膽囊炎; Laparoscopic cholecystectomy; Gangrenous cholecystitis; |
中文摘要 | 對於大多數需要膽囊切除的患者而言,腹腔鏡手術已經成為較被採用的方法。大多數的文獻報告,都在討論腹腔鏡膽囊切除術用在急性膽囊炎、慢性膽囊炎,及有症狀的膽石症方面,只有少數幾篇討論用於壞死性膽囊炎方面。 本篇報告回顧我們用腹腔鏡膽囊切除術治壞死性囊炎之經驗。在909例嘗試腹腔鏡膽囊切除術當中,包含有40例壞死性膽囊炎。這些病人被分成腹腔鏡手術組及轉成開腹式于術組,其中轉成開腹膽囊切除術的比率為25%;術後併發症在腹腔鏡組為7%。本篇並沒有手術死亡率。比較兩組手術前後資料,除了手術時間及住院日數上有意義外,其他像年紀、症狀發作時間及頻率、白血球數及手術時機,均顯示無統計學上差異。 結論:治療壞死性膽囊炎,腹腔鏡是一種選擇。它可以減少手術時間及住院天數,然而並無單一手術前後指標可預測這個疾病的嚴重度,須要手術的時機及使用腹腔鏡能否成功。 |
英文摘要 | Laparoscopy has become the preferred approach for cholecystectomy in the majority of patients. Most of the articles discussed laparoscopic cholecystectomy (L.C) for acute cholecystitis, chronic cholecystitis and symptomatic gallstones, but very few articles presented this only with gangrenous cholecystitis. This study reviews our experience with laproscopic cholecystectomy for gangrenous cholecystitis. Forty consecutive gangrenous cholecystitis patients underwent L.C. The conversion rate from L.C to open cholecystectomy was 25%; postoperative complication was 7% in the L.C group. There was no surgical mortality in this study. Patients were divided into two groups, the L.C group and the converted group. Comparison of peri-operative indexes such as age, frequency of symptom attack, white blood cell counts, and timing of operation in these two groups showed no significant statistical difference, except operation time and length of hospital stay. In conclusion, L.C is a better choice for the treatment of gangrenous cholecystitis. This could decrease the length of surgery and hospital stay. However, none of the peri-operative indexes can predict the severity of this disease, timing of surgery, and chances of success of treatment with L.C. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。