高海拔地区腹腔镜手术治疗急性结石性胆囊炎178例临床研究

目的:探讨高海拔地区胆囊炎急性发作、胆囊结石行腹腔镜胆囊切除术的适应证范围。方法:178例患者均行三孔法LC,置引流管引流。结果:178例中4例中转开腹,其余均成功行腹腔镜手术,术后48小时拔管,痊愈出院,平均住院6天。结论:高海拔地区胆囊结石发病率,术中处理得当,急性结石性胆囊炎的LC,胆囊切除术是安全的。

Objective：To investigate the subject range of laparoscopy operation for acute calculous cholecystitis in high altitude areas. Method：All of 178 cases were used three -port -looping laparoscopie cholecystectomy （LC） and placed drainage tube for drainage as well. Results ： In this group 5 cases required convert to an open procedure, rest of 173 cases were performed successfully, drainage tube were drawn within 24 hours postoperative, average hospital stay time was 6 days. Conclusion：The morbidity rate of acute calculous cholecystitis in high altitude areas？ is high, if the operation be dealt with appropriately, the laparoscopic cholecystectomy（LC） is a safe procedure for acute calculous cholecystitis.