腹腔镜胆囊切除术治疗急性结石性胆囊炎

Laparoscopic cholecystectomy for acute calculous cholecystitis

目的:探讨急性结石性胆囊炎行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的术中处理及并发症的防治。方法:回顾分析2004年11月至2009年11月为63例急性结石性胆囊炎患者行LC的临床资料。结果:53例成功行胆囊切除术,3例胆囊大部切除+胆囊粘膜电灼术,7例中转开腹,无死亡、大出血及胆管损伤。结论:急性结石性胆囊炎行LC是安全可行的,提高腹腔镜技术、适时中转开腹是防治并发症发生的关键。

Objective：To explore the intraoperative treatment,prevention of complications of laparoscopic cholecystectomy（LC） for acute calculous cholecystitis.Methods：The clinical data of 63 patients who suffered from acute calculous cholecystitis and underwent LC from Nov.2004 to Nov.2009 were analyzed retrospectively.Results：LC was successfully performed in 53 cases,and subtotal LC with electric cauterization of remnant gallbladder mucosa in 3 cases.7 cases were converted to open surgery.No mortality,hemorrhea or bile duct injury occurred.Conclusions：LC is safe and feasible for acute calculous cholecystitis.It is essential to improve laparoscopic technique and convert to laparotomy properly for prevention and treatment of complications.