腹腔镜胆囊切除术在基层医院的应用体会

Experience of application of laparoscopic cholecystectomy at grass-roots hospitals

目的:探讨腹腔镜胆囊切除术在基层医院应用的可行性及安全性。方法:回顾分析2007年10月至2009年6月我中心为258例患者行腹腔镜胆囊切除术的临床资料。结果:256例顺利完成腹腔镜手术,2例中转开腹。结论:腹腔镜胆囊切除术具有患者创伤小、出血少、痛苦小、康复快等特点,在基层医院有良好的设备和熟练的腹腔镜操作技术前提下,是一种安全可行的标准术式。

Objective：To study the feasibility and safety of application of laparoscopic cholecystectomy（LC） at grass-roots hospitals.Methods：The clinical data of 258 cases who underwent LC from Oct.2007 to Jun.2009 were collected and retrospectively analyzed.Results：LC were successfully completed in 256 cases,and 2 cases were converted to open surgery.Conclusions：With the characteristics of less trauma,blood loss,pain and rapid recovery,under the premise of good equipments and skilled laparoscopic operating techniques at the grass-roots hospital,LC is a safe and feasible surgical technique.