腹腔镜胆囊切除术治疗急性结石性胆囊炎184例

Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis (184 Cases Report)

目的总结腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)治疗急性结石性胆囊炎的效果。方法2003年1月至2007年4月对184例急性结石性胆囊炎患者行LC治疗,回顾性分析其临床效果。结果平均手术时间为(50±23)min,平均出血量为(50±14)ml。1例因Calot三角冰冻状粘连无法分离,1例因胆囊动脉出血而中转开腹。术后无感染、结石残留、胆漏等并发症发生。结论只要遵循腹腔镜手术的操作规程,LC治疗急性结石性胆囊炎是安全的;因手术难度增加,应根据具体情况把握中转开腹的采用与时机。

Objective To summarize the effect of laparoscopic cholecystectomy（LC） for treatment of acute calculous cholecystitis.Method From Jan.2003 to Apr.2007,184 acute calculous cholecystitis patients underwent LC were reviewed.Results The mean operation time was 50±23 minutes and the average blood loss was 50±14 ml.2 cases were conversed to open cholecystectomy because of difficult dissection to frozen adhesion of Calot＇s triangle in 1 case and massive hemorrhage of cystic artery in the other case.No infection,residual calculi or bile leakage occurred.Conclusion LC is safe for treatment of acute calculous cholecystitis.It is necessary to hold the time of conversion open surgery according to intra-operative difficult conditions.