初期开展腹腔镜胆囊切除术258例无并发症发生的体会

To carry out the initial 258 cases of laparoscopic cholecystectomy experience without complications

目的总结早期开展腹腔镜胆囊切除术(LC)的疗效,以及如何避免并发症的发生。方法回顾性分析我院2006年5月至2008年4月施行的258例腹腔镜胆囊切除术的资料。结果 258例中256例成功完成腹腔镜胆囊切除术,2例因胆囊三角区解剖欠清晰而中转行开腹胆囊切除术,无手术并发症的发生。结论手术适应证的把握、精细的手术操作、对胆囊三角区解剖变异的熟识以及腹腔镜手术小组人员的相对固定是LC手术成功的关键。

Objective To evaluate the curative effect after early laparoscopic cholecystectomy（LC）,and how to avoid the complications.Methods A retrospective analysis of the information about 258 cases undergoing laparoscopic cholecystectomy in our hospital from May 2006 to April 2008.Results 256 cases in 258 undergoing laparoscopic cholecystectomy successfully,while the conversion into surgery of 2 patients because of intensive dense adhesion of Calot＇s Triangle.In addition,there was no complication in this group.Conclusion The choice of surgical indications,the delicate surgical operation,familiarity with anatomic variations of Calot＇s Triangle,as well as fixed laparoscopic surgery team members are the key factors to success of LC surgery.