Management of acute cholecystitis in the laparoscopic era: results of a prospective, randomized clinical trial.

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类别 Primary study
期刊Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
Year 2003

此文章收錄於 5 Systematic reviews Systematic reviews (5 references)

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这项前瞻性,随机对照研究的目的是确定是否应进行腹腔镜胆囊切除术在急性胆囊炎患者早期或延迟的操作。诊断检查后,患者被随机分为两组:(1)早期腹腔镜胆囊切除术(即在出现症状后第7天)或(2)初始保守治疗6〜8周后迟发性腹腔镜胆囊切除术。被安置在早期手术组74例,71例被分配的延迟操作策略,。转换率没有显着性差异(早期的31%对延迟的29%),运行时间(98年初范围30至355分钟与延迟100 [45至280分钟),或出现并发症。在26%的患者的保守治疗策略的失败。总住院时间明显短于早期组(5 [3〜63]天)与延迟组(8 [范围为4至50天,P <0.05)。虽然转换率较高,早期腹腔镜胆囊切除术急性胆囊炎的管理提供显着的优势较保守的策略。最大的好处是减少总住院。
Epistemonikos ID: 793fbf8cc229a0df56988c982848e46370cc5b4b
First added on: Nov 08, 2012
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