腹腔镜手术治疗急性化脓性胆囊炎36例临床分析

Clinical Analysis of Laparoscopic Cholecystectomy in the Treatment of 36 Cases of Acute Suppurative Cholecystitis Patients

目的：探讨急性化脓性胆囊炎时如何安全实施腹腔镜胆囊切除术。方法：回顾分析2010年2月-2011年10月在普外科施行腹腔镜手术的36例急性化脓性胆囊炎患者的临床资料，并对治疗过程进行讨论。结果：36例行腹腔镜手术者，全组患者无死亡病例，平均手术时间55min，中转开腹2例，平均术后第4天出院，本组36例患者均无胆管损伤、血管损伤。36例术后随访3～6个月，无黄疸、发热等并发症发生。结论：注意正确掌握操作技巧，腹腔镜手术在治疗急性化脓性胆囊炎时是能够安全实施的。

Objective： To explore how to ensure the safety of laparoscopic cholecystectomy in the treatment of acute suppurative cholecystitis. Method： Retrospectively analyzed the clinical data of 36 cases of acute suppurative cholecystitis patients which accepted laparoscopic cholecystectomy（ LC ） from general surgery from February 2010 to October 2011, and discuss the treatment process. Result： LC was completed in 36 patients, and there was no case died. The average operation time was 55 minutes; and 2 cases were converted to open cholecystectomy （ OC ） ; and the average discharge time after operation was 4 days. There was no biliary duct and vessel injury. 36 patients received follow up for 3-6 months, and during which no jaundice and fever occurred. Conclusion： LC is safe in the treatment of acute suppurative cholecystitis if correctly master operation technique.