腹腔镜手术治疗急性胆囊炎

The treatment experience of laparoscopic operations for acute cholecystitis(a report of 86 cases)

目的 探讨腹腔镜胆囊切除术 (LC)治疗急性胆囊炎的可行性及手术技巧。方法 回顾性分析86例急性胆囊炎LC手术的临床资料。结果 LC手术成功 84例 ,中转开腹手术 2例 ,平均手术时间 6 5min(4 0～ 2 0 0min) ,术后恢复顺利 ,无胃肠道损伤、胆管损伤等严重手术并发症 ,仅 1例出现脐下穿刺孔感染 ,术后平均住院 6d(3～ 11d)。结论 LC治疗急性胆囊炎安全可行。

Objective To explore feasibility of the treatment and the surgical technique of laparoscopic cholecystectomy(LC) for acute cholecystitis.Methods The clinical data of 86 cases with acute cholecystitis were reviewed retrospectively.Results It was successful in 84 cases;conversion to open surgery in 2 cases.The average time of operation was 65min(40～200min),without any operative complications such as trauma of gastrointestinal tract,biliary tract and so on.Only one case complicated wound infection in umbilicus.The average time of hospitalization after operation was 6d(3～11d).Conclusion LC is a safe and effective methods to treat patients suffered from acute cholecystitis.