腹腔镜胆囊切除术治疗结石嵌顿性胆囊炎的临床分析

Clinical analysis of stone incarceration cholecystitis treated with laparoscopic cholecystectomy

目的评价腹腔镜胆囊切除术治疗结石嵌顿性胆囊炎的疗效。方法79例结石嵌顿性胆囊炎患者进行了腹腔镜胆囊切除术,观察其疗效及并发症发生率。结果本组手术成功72例(91.1%),中转开腹7例(8.9%),并发症2例;术后平均住院3.9天。结论随着临床经验的积累,腹腔镜胆囊切除术目前已成为结石嵌顿性胆囊炎治疗的安全、有效的方法。

Objective To evaluate the therapeutic effect of laparoscopic eholeeystectomy in treating stone incarceration eholeeystitis. Methods 79 patient with stone incarceration cholecystitis were treated with laparoseopic eholeeysteetomy,and therapeutic effect and complication were observed. Results 79 cases were performed laparoseopic eholeeystectomy,72 cases（91.1%） were successful,7 eases（8.9%）converted to open eholecystectomy,complication happened in two cases ;After operation, the time of average hospitalization was 3.9days. Conclusions Along with the accumulation of clinical experience, laparoscopie cholecysteetomy has been being a kind of safe and effective methods in treating stone incarceration cholecystitis.