86例急性结石性胆囊炎行腹腔镜胆囊切除术的体会

Laparoscopic cholecystectomy in 86 cases of acute calculous cholecystitis

目的:探讨腹腔镜治疗急性结石性胆囊炎的操作方法。方法:对我院近几年施行的86例手术资料进行回顾性分析。结果:成功完成腹腔镜胆囊切除术(LC)78例(90.69%),其中中转开腹8例(9.31%)。手术时间60～135min,平均90min。1例术后第二天发现胆漏,经再次手术证实系胆囊管置钛夹处破裂所致,无胆管损伤,所有病例均痊愈出院。结论:随着腹腔镜手术经验的积累及技术的提高,急性结石性胆囊炎行LC、是安全可行的。

Objective ：To investigate the laparoscopic c holecysteclomy（LC） treatment of acute calculous cholecystitis. Methods ：The data in 86 cases of surgery treatment were analyzed retrospectively. Results ：The successful completion of LC was in 78 cases （90.69%）, 8 cases of conversion （9.31%）. Operation time was 60-135 rain,an average of 90min. 1 case was found bile leakage on 2d after operation. Reoperation confirmed the tube rupture caused by titanium clip without bile duct injury.All patients were cured and discharged. Conclusion：With the experience accumutation of laparoscopic surgery and technology improvement, LC treating acute calculous cholecystitis is safe and feasible.