...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Laparoscopic cholecystectomy after bariatric surgery.
【24h】

Laparoscopic cholecystectomy after bariatric surgery.

机译：减肥手术后的腹腔镜胆囊切除术。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: This prospective study determines the value of laparoscopic cholecystectomy (LC) in patients with cholelithiasis after bariatric surgery. METHODS: Eighty-four consecutive patients who underwent bariatric surgery without concomitant cholecystectomy were studied. Patients were divided in two groups; group A including 50 patients (59.5%) without gallbladder disease, and group B included 34 patients (40.5%) with symptomatic cholelithiasis within 2 years postoperatively. Characteristics of both groups were compared and analyzed by the use of chi-square tests. RESULTS: In all 34 patients in group B LC was attempted, and the procedure was successful in 28 (82.4%). LC was converted to open procedure in 6 patients (17.6%). Two patients with choledocholithiasic obstructive jaundice underwent endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy prior to laparoscopic management. The mean operative time was 75 +/- 12 min, and the mean hospitalization was 2.8 +/- 1.1 days. CONCLUSION: Morbidly obese patients undergoing bariatric surgery are at high risk for developing symptomatic cholelithiasis postoperatively, which usually takes the form of acute cholecystitis. LC is feasible, effective, and seems to be the procedure of choice despite the technical difficulties.
机译：背景：这项前瞻性研究确定了减肥手术后胆囊结石患者的腹腔镜胆囊切除术（LC）的价值。方法：对八十四例连续进行减肥手术而未进行胆囊切除术的患者进行了研究。患者分为两组。 A组包括50例无胆囊疾病的患者（59.5％），B组包括34例术后2年内有症状性胆石症的患者（40.5％）。使用卡方检验对两组的特征进行比较和分析。结果：B组所有34例患者均进行了尝试，其中28例（82.4％）手术成功。 LC转换为开放手术的6例患者（占17.6％）。两名胆总管结石梗阻性黄疸患者在进行腹腔镜处理之前接受了内镜逆行胰胆管造影和内镜括约肌切开术。平均手术时间为75 +/- 12分钟，平均住院时间为2.8 +/- 1.1天。结论：进行肥胖手术的病态肥胖患者术后出现症状性胆石症的风险较高，通常以急性胆囊炎的形式出现。 LC是可行，有效的，尽管存在技术困难，但似乎仍是选择的程序。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号