腹腔镜_____胆囊切除术，腹腔镜；胆囊炎

腹腔镜治疗急性胆囊炎的体会

http://www.100md.com 《腹腔镜外科杂志》 2005年第6期

腹腔镜,,胆囊切除术，腹腔镜；胆囊炎,1资料与方法,2讨论,参考文献：

     【摘要】目的：探讨为急性胆囊炎患者行腹腔镜胆囊切除术(LC)的手术时机及处理方法。方法：回顾分析152例急性胆囊炎患者行LC的临床资料。结果：152例均无严重手术并发症发生，中转开腹4例，占263%(4/152)。152例中，27例胆囊周围及胆囊三角与周围组织广泛粘连，手术操作难度大，行胆囊大部分切除术，占171%(27/152)。122例术后放置腹腔引流管2~5d，平均3d，占835%(122/152)。患者均治愈出院。结论：急性胆囊炎患者可施行LC，且安全有效，熟练的镜下操作技巧，充分的围手术期处理，适当放宽中转开腹指征是手术成功的关键。

    【关键词】胆囊切除术，腹腔镜；胆囊炎

    Experience of laparoscopic cholecystectomy for acute cholelecystitis

    GAO Zhenhua,FENG Shuangcheng，YANG Xinchun.

    Dept.of Laparoscopy,The First People′s Hospital of Baiyin,Baiyin 730900,China

    【Abstract】Objective:To explore the operataive opportunity and method of laparoscopic cholecystectomy(LC) for acute cholecystitis.Methods:152 cases′ clinical data were restrospectively analyzed.Results:152 cases were performed laparoscopic cholecystectomy with no serious complications.4 cases were converted to laparotomy,and the conversion rate was 2.64%.27 cases with serious adhension around the cholecyst and the calot triangle were performed laparoscopic subtotal cholecystectomy,the rate was 17.1%.Abdominal drainage tube was used in 122 cases after operation,the mean maintaining time is 3d (25d),and the rate was 83.5%.Conclusions:LC is safe and effective for acute cholecystitis.The key points of the operation include experienced skills,sufficient preparation and reasonable conversion indictions. ......

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