《东京指南》指导下的急性胆囊炎腹腔镜胆囊切除术

被引：22

作者：

白明东

王建

徐海

赵严冬

章密密

机构：

[1] 徐州医学院第二附属医院普外科

来源：

中华普通外科杂志 | 2013年 / 01期

关键词：

D O I：

暂无

中图分类号：

R657 [];

学科分类号：

摘要：

<正>腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)已成为治疗慢性胆囊炎的"金标准"。由于对诊断标准和治疗时机缺乏共识,LC用于治疗急性胆囊炎(acute cholecystitis,AC)存在争论。《东京指南》确立并规范了AC诊断、分级和治疗策略。我们应用该指南对212例AC实施并完成LC,获得较好疗效,报道如下。资料与方法1.一般资料:2007年1月至2012年1月,连续收治符合《东京指南》诊断标准的急性结石性胆囊炎患者共258例。排除标准:(1)年龄小于18岁;(2)心肺肾功能障碍;(3)拒

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