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目的:探讨腹腔镜胆囊切除术(LC)与开腹胆囊切除术(OC)治疗肥胖患者急性胆囊炎的手术效果。方法:对比分析黄冈市英山县人民医院102例肥胖患者急性胆囊炎分别行LC和OC的治疗效果。结果:62例LC组在切口并发症、术后住院时间、术后首次肛门排气时间均优于OC组,手术时间和住院费用与OC组相接近。结论:LC相对于OC治疗肥胖患者急性胆囊炎,具有创伤小、恢复快、切口并发症少等优点,是治疗肥胖患者急性胆囊炎较理想的手术方式。
Objective: To investigate the effect of laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) in the treatment of acute cholecystitis in obese patients. Methods: A comparative analysis of 102 cases of obese patients with acute cholecystitis were performed LC and OC treatment in Yingshan County People’s Hospital of Huanggang City. Results: The incision complications, postoperative hospital stay, and first anal exhaust time in 62 LC groups were better than those in OC group. The operation time and hospitalization cost were similar to OC group. Conclusion: Compared with OC, LC can treat acute cholecystitis in obese patients with the advantages of less trauma, faster recovery and fewer incision complications. It is an ideal surgical treatment for acute cholecystitis in obese patients.