急性结石性胆囊炎腹腔镜胆囊切除手术临床分析

Clinical analysis of laparoscopic cholecystectomy in acute calculous cholecystitis.

目的探讨结石性胆囊炎急性炎症期腹腔镜胆囊切除术(LC)的手术技巧及手术指征。方法对急性炎症期LC 221例与同期急性炎症期开腹胆囊切除术(OC)158例作对照,回顾性总结379例急性结石性胆囊炎手术治疗临床资料,体会炎症期LC手术技巧。结果LC组术中情况、切口感染情况、术后平均住院时间均优于OC组。结论急性炎症期LC在具备熟练手术技巧时,是一种安全有效的术式。

Objective To discuss the technique and surgical indications of laparoscopic cholecystectomy（LC） in acute calculous cholecystitis.Methods The clinical data of 379 cases of acute calculous cholecystitis were retrospectively summarized.The clinical data of 221 cases underwent LC were compared with those of 158 cases underwent open cholecystectomy（OC）.Results The intraoperative conditions,wound infection and postoperative hospital stay of the LC group were better than those in OC group.Conclusion When skilled surgeon is available,LC is a safe and effective surgical treatment for acute calculous cholecystitis.