腹腔镜胆囊切除术临床总结

Clinical review of laparoscopic cholecystectectomy

目的:探讨基层医院临床应用腹腔镜胆囊切除(LC)的手术适应症,研究术前评估LC的手术难度。方法:回顾分析123例LC的资料。结果:成功实施115例,主动中转开腹8例(7%),无手术并发症。结论:根据病史及B超检查可在术前初步判断LC的难易成度,利于制定手术方案,减少盲目性和并发症,并进一步结合术时情况对手术难度大,风险高的病人果断中转开腹是规避严重并发症的良策。

Objective： To investigate the indication of laparoscopic cholecystectomy （ LC ） and evaluate the degree of difficulty of laparoseopie eholecysteetomy pre -operative. Methods： 123 patients received laparoseopie eholeeysteetomy were analyzed retrospectively. Result： 115 patients were performed by laparoseopie eholecystectomy successfully. 8 patients were converted to open surgery. All of 123 eases had no complication. Conclusions： We can evalute the degree of difficulty of laparoseopie eholeeysteetomy according to disease history and pre - operative B - ultrasound examination, on the basis of which, the operation strategies were established. Then, the blindness of operation and complications will be less. Conversion to open surgery prevents the severe complications for patients whose operation are very difficult and dangerous.