腹腔镜胆囊切除术1450例分析

A report of 1450 cases undergone laparoscopic cholecystectomy

目的：评价腹腔镜胆囊切除术（ＬＣ）的安全性和有效性，对１４５０例ＬＣ及其并发症的预防加以总结。方法：对１４５０例良性胆囊疾病病人行ＬＣ，其中１４２例术前选择性地进行ＥＲＣＰ检查。结果：ＬＣ时中转开腹胆囊切除术６１例（４．２１％），发生各种并发症９例（０．６２％），均治愈；无手术死亡病人，也无胆道损伤等严重并发症发生。结论：腹腔镜胆囊切除术是一项治疗良性胆囊疾病的安全、有效的新技术。

Objective: To evaluate the safety and efficiency of laparoscopic cholecystectomy (LC). Methods: From July ,1992 to July, 1996, LC was performed in 1450 patients with benign gallbladder diseases. Of the patients, 142 were examined with preoperative endoscopic retrograde cholangiography (ERCP). Results: The conversion to open surgery was needed by 61 (4.21%) and various complications were found in only 9 (0.62%) but no death and bile duct injury were found. Conclusion: LC is a safe and efficient technique in the treatment of benign gallbladder diseases.