腹腔镜胆囊切除术40例临床分析

Clinical Analysis of 40 Cases of Laparoscopic Cholecystectomy

目的:总结我院2006年8月～2008年2月腹腔镜胆囊切除术40例经验教训;方法:回顾分析40例胆囊特点、手术方法、术后恢复情况、中转开腹原因及预后;结果:全组病例无手术后死亡,无严重并发症发生,中转开腹2例,占全组5%;结论:腹腔镜胆囊切除术一般来讲是安全可靠,但术中医源性损伤时有发生的可能,且其发生率仍高于传统开腹手术,随着术者熟练程度的提高,后期发生率明显降低,同时原来为相对禁忌症者,也可为较好的适应症。

Objective： To sum up the experiences of 40 cases of Laparoscopic Cholecystectomy.Method： To analyze 40 cases of cystic characteristics,operative methods, recovery condition after operation, the reason and prognosis for conversion to laparotomy.Results： All cases were survival. No serious complications occurred. A conversion to open surgery was made in 2 cases,which accounts for 5% of the group. Conclusion： Laparoscopic Cholecystectomy is safe and reliable but there is possibility of iatrogenic injury with higher incidence than traditional laparotomy. With operators improvement of skill proficiency, incidence rate is lowered evidently during the later period. At the same time, it becomes adaptable indication for those original contraindication patients.