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Comparision between conventional cholecystectomy and laparoscopic cholecystectomy in treatment of Mirizzi's syndrome
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- Author:
- No author available
- Journal Title:
- WORLD CHINESE JOURNAL OF DIGESTOLOGY
- Issue:
- 25
- DOI:
- 10.3969/j.issn.1009-3079.2008.25.021
- Key Word:
- 胆囊结石;胆囊切除;腹腔镜;Mirizzi综合征
Abstract： 目的:比较开腹与腹腔镜胆囊切除术处理Mirizzi综合征的利弊.方法:对2002-O1/2006-01收住我院胆囊结石、急慢性胆囊炎患者中的34例Mirizzi综合征进行回顾性分析.比较开腹与腹腔镜胆囊切除处理Mirizzi综合征的手术时间、术后住院天数和术后并发症:分析术前B超和肝功能检查与Mirizzi综合征的关系.结果:I型Mirizzi综合征腹腔镜手术时间与开腹手术比较无明显差异,术后住院天数短于开腹手术(9.33 d vs 4.57 d,P<0.01),两组均未出现并发症.术前B超发现胆囊颈管结石嵌顿伴肝总管扩张和肝功能异常者与Mirizzi综合征密切相关(P<0.001).结论:腹腔镜胆囊切除处理I型Mirizzi综合征可缩短术后住院天数.术前B超可提高Mirizzi综合征的诊断率.
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