腹腔镜胆囊切除术治疗急性胆囊炎的临床体会(附76例报告)

Clincal analysis of therapeutic effect of laparoscopic cholecystectomy for acute cholecystitis:with a report of 76 cases

目的:探查急性胆囊炎行腹腔镜胆囊切除术(laparsocopic cholecystectomy,LC)的可行性及安全性。方法:回顾分析为76例急性胆囊炎患者行LC的临床资料。结果:68例成功完成手术,8例(10.4%)中转开腹,无并发症发生。手术时间35～120min,平均80min;住院5～15d,平均7.6d;术后效果良好。结论:完善的术前检查、娴熟的腹腔镜技术、耐心细致并严格把握中转开腹指征,为急性胆囊炎患者行LC是安全、可靠的。

Objective：To discuss the feasibility and safety of laparoscopic cholecystectomy（LC）in treatmeat of acute cholecystitis.Methods：The clinical data of 76 cases with acute cholecystitis underwent LC were retrospectively analyzed.Results：Operations for 76 cases were successfully accomplished and conversion to open surgery was required in 8 cases（10.4%）.There wasn’t any severe complication.The operation time was 35-120 min（average 80 min）.The hospital stay was 5-15 d（average 7.6 d）.The therapeutic effect was saticfactory.Conclusions：In condition of thorough preoperative examination,skilled laparoscopic technique,mastering the indication of conversion to laparotomy,LC is safe and feasible for acute cholecytitis.