腹腔镜手术治疗急性胆囊炎临床体会(附95例报告)

目的探讨腹腔镜胆囊切除术(LC)治疗急性胆囊炎的可行性及手术技巧。方法回顾性分析2004年5月～2008年5月95例急性胆囊炎LC手术的临床资料。结果LC手术全部成功,无中转开腹手术,平均手术时间65min(45～130min),术后恢复顺利,无胃肠道损伤、胆管损伤等严重手术并发症,术后平均住院5d(3～7d)。结论只要能把握住手术时机并注重手术技巧,急性胆囊炎患者行腹腔镜下胆囊切除术是安全可行的。

Objective To explore the feasibility of the treatment and the surgical technique of laparoscopic cholecystectomy （LC） for acute cholecystitis. Methods The clinical data of 95 cases with acute cholecystitis were reviewed retrospectively during May 2004 to May 2008. Results It was all successful in 95 cases; there was no case conversion to open surgery. The average time of operation was 65 min （45-130min）, without any operative complications such as trauma of gastrointestinal tract, biliary tract and so on. The average time of hospitalization after operation was 5d （3-7d）. Conclusion LC is a safe and effective method to treat patients suffered from acute cholecystitis as long as that time of surgery is properly selected and operative procedure are strictly followed.