腹腔镜胆囊切除术1250例临床分析

Analysis of laparoscopic cholecystectomy:A report of 1 250 cases

目的 :探讨腹腔镜胆囊切除术的适应证和预防并发症的措施。方法 :对 12 5 0例腹腔镜胆囊切除术进行回顾性分析 ,其中胆石症 110 7例 ,急性胆囊炎 86例 ,胆囊息肉 2 5例 ,慢性胆囊炎 32例 ,合并阑尾炎 4例。结果 :手术时间 13～ 12 0min ,平均35min。一次手术成功者 1194例 ,占 95 .5 2 % ;中转开腹手术 5 6例 ,占 4.48% ;并发症发生率为 0 .48% ,其中胆漏 3例 ,残留胆石 2例 ,出血 1例。无胆管损伤 ,无死亡病例。结论 :腹腔镜胆囊切除术可列为治疗胆囊炎胆石症首选方法。掌握娴熟的腹腔镜技术可以减少和避免发生严重并发症。

Objective:To explore the indications of laparoscopic cholecystectomy and the preventive measures of severe complications.Methods:One thousand two hundred and fifty patients of laparoscopic cholecystectomy were analyzed retrospectively,of them 1 107 had cholelithiasis,86 acute cholecystitis,25 gallbladder polyps,32 chronic cholecystitis and 4 incorporated appendicitis.Results:The operational time was 13～120 minutes(average 35 minutes).One time success of the operations amounted to 1 194(about 95.52%),laparoscopic cholecystectomy to operational cholecystectomy 56(about 4.48%) and rate of complications 0.48%.There were no deaths or bile duct injuries.Conclusions:Laparoscopic cholecystectomy is the first choice for treatment of cholecystitis and cholelithiasis.Skilled laparoscopic technigue can reduce or avoid serious complications. [