困难腹腔镜胆囊切除术80例的诊治体会

Experience of 80 cases of difficult laparoscopic cholecystectomy

目的:总结困难腹腔镜胆囊切除术患者的诊治情况。方法:回顾性分析困难腹腔镜胆囊切除术患者80例的诊治资料。结果:腹腔镜胆囊切除术成功率96.25%,3例患者中转开腹手术。随访3个月,未出现其他严重并发症。结论:术前详细评估、术中认真操作、术后严密观察利于腹腔镜胆囊切除术的顺利进行,降低中转开腹率。

Objective:To summarize the diagnosis and treatment of patients with difficult laparoscopic cholecystectomy.Methods:The diagnosis and treatment data of 80 cases of patients with difficult laparoscopic cholecystectomy were analyzed retrospectively.Results:The success rate of laparoscopic cholecystectomy was 96.25% ,and 3 cases were converted to open operation.No otherserious complications occurred in the follow-up of 3 months.Conclusion:Close preoperative evaluation,careful intraoperativeoperation,close postoperative observation were conducive to the smooth progress of laparoscopic cholecystectomy and reducing therate of conversion to open operation.