腹腔镜胆囊切除术治疗急性胆囊炎的体会

The analysis of laparoscopic cholecystectomy for acute cholecystitis

目的探讨腹腔镜胆囊切除术治疗急性胆囊炎的方法及疗效。方法回顾性分析我院2004年7月至2007年12月56例急性胆囊炎行腹腔镜胆囊切除术的临床资料。结果51例成功完成腹腔镜胆囊切除术,5例中转开腹手术,12例温氏孔放置引流管。结论急性胆囊炎行腹腔镜胆囊切除术可行、有效。严格掌握手术指征、规范操作、合理放置引流是手术关键。腹腔镜手术遇困难时,可适时中转开腹。

Objective To investigate the methodology and effect of laparoscopic cholecystectomy for patients with acute cholecystitis. Methods Between July 2004 and December 2007, 56 patients with acute cholecystitis have been performed by the procedure of laparoscopic cholecystectomy. Results The laparoscopic cholecystectomy was successfully accomplished in 51 cases and the other 5 were converted to open surgery. A drainage tube at the foramen of Winslow was placed in 12 cases. Conclusions Laparoscopic cholecystectomy is a safe and effective procedure for acute cholecystitis. Strict adhesion to surgical indications of laparoscopic cholecystectomy, standard performance of the procedure and proper placement of drainage tube are key factors to ensure a successful operation. Convert to open surgery is necessary in difficult situation.