摘要
目的探讨腹腔镜胆囊切除术(LC)治疗急性胆囊炎的临床应用价值。方法回顾性分析该院2000年10月～2009年10月行LC的181例急性胆囊炎患者的临床资料。结果该组LC成功率84.5%(153/181),中转开腹率15.5%(28/181),并发症发生率2.8%(5/181)。术中行胆管造影27例,其中,8例有阳性发现。结论急性胆囊炎行LC术是安全可行的,正确处理胆囊三角是关键,术中胆管造影,适时中转开腹可减少并发症的发生。
【Objective】To evaluate the clinical value of laparoscopic cholecystectomy （LC） for acute cholecystitis. 【Methods】The study was based on a retrospective review of 181 cases by LC in acute cholecystitis from Octo-ber 2000 to October 2009 in our hospital.【Results】153 cases （84.5%） were performed successfully,while 28 cases （15.5%） were converted to open surgery. Complications occurred in 5 cases of 181 cases. （2.8%） Intraoperative cholangiography （IOC） was successfully conducted in 27 cases,8 cases had positive findings. 【Conclusions】LC can be safe and feasible in the majority of cases of acute cholecystitis. Correct manipulation with Calot＇s triangle is the key factor. Intraoperative cholangiography （IOC） and proper conversion to open surgery can reduce complications.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第4期392-394,共3页
China Journal of Endoscopy
关键词
腹腔镜胆囊切除术
急性胆囊炎
laparoscopic cholecystectomy
acute cholecystitis
