急性胆囊炎的腹腔镜胆囊切除术:最新综述

Kumar Hari Rajah
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引用次数: 0

摘要

腹腔镜胆囊切除术是治疗胆石症的金标准,但最近也被纳入急性胆囊炎的治疗中。腹腔镜胆囊切除术分为早期腹腔镜胆囊切除术和延迟腹腔镜胆囊切除术。早期腹腔镜胆囊切除术在症状出现后 72 小时内进行,而延迟腹腔镜胆囊切除术则在 8 周后进行。由于对成人和老年患者进行早期腹腔镜胆囊切除术的时机尚未达成共识,我们撰写了这篇综述文章,研究早期腹腔镜胆囊切除术的时机、转为开腹胆囊切除术的风险因素以及腹腔镜次全胆囊切除术在急性胆囊炎治疗中的作用。
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Laparoscopic Cholecystectomy in Acute Cholecystitis: An Updated Review
Laparoscopic cholecystectomy is the gold standard for the management of gallstone disease, but it has recently been incorporated into the treatment of acute cholecystitis. It is divided into early and delayed laparoscopic cholecystectomy. Early laparoscopic cholecystectomy is done within 72 hours of the onset of symptoms, and delayed laparoscopic cholecystectomy is done after eight weeks. As there is no consensus on the timing of early laparoscopic cholecystectomy in adults and elderly patients, we have conducted this review article to examine the timing of early laparoscopic cholecystectomy, the risk factors for conversion to open cholecystectomy, and the role of laparoscopic subtotal cholecystectomy in the management of acute cholecystitis.
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