腹腔镜胆囊切除术治疗急性胆囊炎临床观察

Application of laparoscopic cholecystectomy in the treatment of acute cholecystitis

目的总结急性胆囊炎行腹腔镜胆囊切除术（LC）的经验体会。方法68例急性胆囊炎行LC，CO2建立气腹，常规四孔法。结果64例成功完成LC，4例中转开腹，1例放置引流管。结论严格掌握急性胆囊炎腹腔镜手术治疗的指征，规范腹腔镜操作技术，适时中转开腹，合理放置引流，是保证手术成功的关键。

Objective To summarize the clinical experience of laparoscopic cholecystectomy（LC） for acute cholecystitis. Methods LC was performed in 68 cases of acute cholecystitis for 2004 to 2007. The operation was completed under CO2 pneumopefitoneum by using 4-port technique. Results The LC was successfully accomplished in 64 cases, while a conversion to open surgery was required in 4 cases. A drainage tube at the foramen of Winalow was placed in 1 cases. Conclusion Strict adhesion to surgical indications of LC, standard performance of the procedure, timely conversion to open surgery, and proper placement of drainage tube are key factors to ensure a successful operation.