急性结石性胆囊炎行腹腔镜胆囊切除术182例临床分析

Laparoscopic cholecystectomy for acute calculous cholecystitis:a clinical analysis of 182 cases

目的:总结急性结石性胆囊炎行腹腔镜胆囊切除术(laparoscop ic cholecystectomy,LC)的手术经验。方法:为182例急性结石性胆囊炎患者行LC,必要时中转开腹。结果:177例成功施行LC,5例中转开腹,全组均无胆管损伤、术后出血及胆漏等并发症发生,无死亡病例。结论:只要具备熟练的腹腔镜手术技术,为急性结石性胆囊炎患者行LC是安全、可靠的。

Objective：To summarize the operative experience of laparoscopic cholecystectomy（LC） for acute calculous cholecystitis.Methods：The 182 patients with acute calculous cholecystitis were treated by LC and converted to laparotomy pro re nata.Results：One hundred and seventy-seven cases were successful,5 cases were converted to laparotomy,no death or other complications,such as bile duct injury,postoperative hemorrhage or bile leakage,occurred.Conclusions：LC for acute calculous cholecystitis can be safely and reliably performed by doctors who are skilled in laparoscopic surgical technic.