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首页> 外文期刊>World Journal of Gastroenterology >Timing of laparoscopic cholecystectomy for acute cholecystitis: a prospective non randomized study.
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Timing of laparoscopic cholecystectomy for acute cholecystitis: a prospective non randomized study.

机译：腹腔镜胆囊切除术治疗急性胆囊炎的时机：一项前瞻性非随机研究。

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AIM: To study the timing of laparoscopic cholecystectomy for patients with acute cholecystitis. METHODS: Between January 2002 and December 2005, all American Society of Anesthesiologists classification (ASA) I, II and III patients with acute cholecystitis were treated laparoscopically during the urgent (index) admission. The patients were divided into three groups according to the timing of surgery: (1) within the first 3 d, (2) between 4 and 7 d and (3) beyond 7 d from the onset of symptoms. The impact of timing on the conversion rate, morbidity and postoperative hospital stay was studied. RESULTS: One hundred and twenty-nine patients underwent laparoscopic cholecystectomy for acute cholecystitis during the index admission. Thirty six were assigned to group 1, 58 to group 2, and 35 to group 3. The conversion rate and morbidity for the whole cohort of patients were 4.6% and 10.8%, respectively. There was no significant difference in the conversion rate, morbidity and postoperative hospital stay betweenthe three groups. CONCLUSION: Laparoscopic cholecystectomy for acute cholecystitis during the index admission is safe, regardless of the time elapsed from the onset of symptoms. This policy can result in an overall shorter hospitalization.
机译：目的：研究腹腔镜胆囊切除术治疗急性胆囊炎的时机。方法：在2002年1月至2005年12月期间，所有美国急性麻醉性胆囊炎协会（ASA）I，II和III级患者均在紧急（索引）入院时经腹腔镜治疗。根据手术时间将患者分为三组：（1）在头3 d内，（2）在4到7 d之间，以及（3）症状发作后7 d。研究了时间对转化率，发病率和术后住院时间的影响。结果：129例患者在入院时因急性胆囊炎而进行了腹腔镜胆囊切除术。第1组分为36组，第58组属于第2组，第35组属于第3组。整个患者队列的转化率和发病率分别为4.6％和10.8％。两组之间的转换率，发病率和术后住院时间无显着差异。结论：腹腔镜胆囊切除术用于急性胆囊炎的指数入院是安全的，无论从症状发作到经过的时间如何。这项政策可能导致整体住院时间缩短。

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