腹腔镜与开腹胆囊切除术后发生胆囊切除术后综合征的比较

摘要

Objective: To compare the rate of postcholecystectomy syndrome ( PCS) followed laparoscopic and open cholecystectomy. Methods: Two hundred and twenty-nine cases of open cholecystectomy and 139 cases of laparoscopic cholecystectomy were retrospectively analyzed for the PCS rate. Results: There was no significant difference between open cholecystectomy and laparoscopic cholecystectomy for the PCS rate(P >0. 05). The PCS rate was higher in the patients who accepted cholecystectomy during acute phase when compared with non-acute phase ( P 0.05);急性期开腹胆囊切除术后PCS的发生率(51.3%)较非急性期开腹和LC术发生率高(P<0.01),胆总管结石行T管引流术后PCS的发生率较非急性期开腹胆囊切除术和LC术发生率高(P<0.01).结论:开腹胆囊切除术与LC后PCS的发生率无差异,急性期开腹胆囊切除和伴胆总管结石行T管引流的患者术后PCS的发生率明显增高.