胆囊急性炎症期腹腔镜胆囊切除术的临床应用

目的:探讨胆囊急性炎症期腹腔镜胆囊切除术(LC)的方法和疗效。方法:对216例胆囊急性炎症期患者施行LC,统计手术时间、并发症、感染率及住院时间。结果216例患者中204例完成LC,成功率94.44%,手术时间30～150分钟,平均50分钟,无患者感染,住院时间4～12天,平均6.2天。中转开腹的原因:Calot三角解剖关系不清7例,胆总管损伤3例,胆囊动脉出血1例,胆囊肿瘤1例。结论:胆囊急性炎症期患者行LC,必须正确评估手术操作难度,掌握娴熟的LC操作技巧,熟悉解剖位置。

Objective To investigate the gallbladder in laparoscopic cholecystectomy for acute cholecystitis（LC） method and effect.Methods 216 cases of gallbladder in acute cholecystitis patients underwent LC,statistical operation time,complications,infection rate and length of time.Results among the 216 cases,204 cases of LC,94.44% success rate,operation time 30 ～ 150 minutes,averaging 50 minutes,with no infection,hospitalization time is 4 ～ 12 days,an average of 6.2 days.The causes of the conversion to laparotomy：Calot triangle relation is not clear in 7 cases,3 cases of common bile duct injury,1 cases of cystic artery bleeding,1 cases of gallbladder cancer.Conclusion acute gallbladder inflammation in patients with LC,must correct assessment of surgery operation difficulty,skilled LC operating skills,familiar with the anatomical position.