急性结石性胆囊炎行腹腔镜胆囊切除术的体会

Laparoscopic cholecystectomy in acute calculous cholecystitis

目的:探讨急性结石性胆囊炎行腹腔镜胆囊切除术(LC)的安全性。方法:对急性结石性胆囊炎185例施行LC。结果:顺利完成LC177例,中转开腹手术8例。全组无死亡病例,无胆管损伤,出血等严重并发症。结论:急性结石性胆囊炎为LC手术的适应证。要求术者具有丰富的LC手术经验和及时中转开腹手术的思想准备。

Objective: To study the feasibility of laparoscopic cholecystectomy (LC) in acute calcu-lous cholecystitis. Methods: 185 cases with acute calculous cholecytitis were conducted with LC in our hospital through past 5 years; the documents were collected and reviewed. Results: LC was achieved on 177 patients and 8 cases were converted to open cholecystectomy,no serious complications such as bleeding,injury of bile duct death et al occured. Conclusion: Acute calculous cholecystectomy is indicated to LC which complications can be reduced by improving operation skills and conducting promptly open cholecystectomy.