三孔法腹腔镜胆囊切除术3520例体会

Surgical experiences of laparoscopic cholecystectomy with three holes:report of 3520 cases

目的:探讨三孔法腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的方法和体会。方法:对3 520例行三孔法LC的临床资料进行回顾性分析。结果:3 397例成功施行三孔法LC,75例中转四孔法LC,48例中转行开腹胆囊切除术,平均手术时间32 min;术后平均住院3.6天。无手术死亡及术后严重并发症。结论:三孔法腹腔镜胆囊切除术安全可靠。

Objective：To explore the method and experience of laparoscopic cholecystectomy（LC） with three holes. Methods：The clinical data of 3 520 cases accepted the routine LC with three holes were retrospectively analyzed. Results：Three thousand three hundred and ninety-seven cases underwent successful LC,while 75 cases were converted to LC with four-hole,48 cases switch to cholecystectomy through laparotomy.The mean operation time for LC with three holes was 32 min.The average length of hospital stay was 3.6 days.There were no death and serious complications after the surgery in all cases. Conclusions：The method of LC with three holes is safe and reliable.