急性化脓性胆囊炎小切口胆囊切除手术探讨

Investigation of Minicholecystectomy for Acute Suppurative Cholecystitis

目的 :探讨急性化脓性胆囊炎小切口胆囊切除手术 (MC)的手术方法。方法 :回顾分析 6年来小切口胆囊切除术应用于急性化脓性胆囊炎的情况 ,对手术技术进行总结、介绍。结果 :全组手术 12 3例 ,成功 112 (91.1% )例 ,延长切口 11例 (8.9% ) ,并发症 6例 (5 .4 % )。结论 :具备熟练的开腹胆囊切除手术的经验和良好的责任感 ,运用恰当的MC技术可以安全可靠地进行急性化脓性胆囊炎手术。

Objective: To investigate the operative methods of minicholecystectomy (MC) for acute suppurative cholecystitis. Methods: The clinical application in 123 cases of MC for acute suppurative cholecystitis in about 6 years were reviewed. Results: In 123 cases, there were 112 cases (91.1%) cured with MC, 11 cases (8.9%) with incision lengthened. 6 cases (5.4%) had complications. Conclusion:Having skillful experiences of cholecystectomy, good responsibility and appropriate method, surgeon could safely perform MC for acute suppurative cholecystitis.