嵇武 徐梅 陈训如 李胜宏 段作纬 罗丁 刘成 周正东 毛静熙 余少明 嵇武、陈训如、李胜宏、段作纬、罗丁、刘成、周正东、毛静熙、余少明 成都军区昆明总医院肝胆外科 昆明650032; 徐梅 昆明铁路局中心医院外二科 中华消化内镜杂志 1999 0 16 5


    关键词：胆囊切除术；气腹 期刊 zhxhnjzz 0 论 著 fur -->


    

摘要 目的 观察腹腔镜胆囊切除术后气腹存留时限。方法 对40例腹腔镜胆囊切除术患者术后进行连续腹部 X线平片观察，并与同期40例开腹胆囊切除术患者对照。结果 腹腔镜胆囊切除术后气腹存留时限为(1.78±0.68)天，4天内均完全吸收，开腹胆囊切除术后气腹存留时限为(8.65±2.05)天，完全吸收时限为5～15天。结论 腹腔镜胆囊切除组术后气腹存留时限明显短于开腹胆囊切除术组(P<0.001)，这对于术后的临床观察有指导意义。

    

Duration of pneumoperitoneum after laparoscopic and

    open cholecystectomy observed by X-ray

JI Wu^* , XU Mei, CHEN Xunru, et al.

    ^* Department of Hepatobiliary Surgery, Kunming General Hospital of PLA, Kunming 650032

Abstract Objective The period of gas presence in abdomen after cholecystectomy by laparoscopic or open approach was studied. Methods Serial X-ray films of the abdomen following the procedures were taken for observation in each 40 cases after laparoscopic or open cholecystectomy (LC or OC ). Results In LC gas could be detected on 1.78±0.68 days with complete absorption in 4 days. While in OC that lasted for 8.65±2.05 days and absorbed within 5～15 days. Conclusion Postoperative pneumoperitoneum lasted significantly shorter following LC than OC.

    Key words Cholecystectomy Pneumoperitoneum

开腹手术后气腹存留时限的观察 ......