腹腔镜胆囊切除术临床治疗体会

Clinical treatment experience of laparoscopic cholecystectomy

目的:探讨腹腔镜胆囊切除术的临床应用效果。方法:2015年1月-2016年12月收治行胆囊切除术患者48例,分析临床治疗效果。结果:48例患者中,顺利完成腹腔镜胆囊切除术47例,仅1例因病情变化而中转传统开腹术式治疗;临床治愈率97.9%;且腹腔镜胆囊切除术患者无明显并发症发生,但1例中转传统开腹患者则出现切口感染;术后6个月随访,所有患者均未出现复发或结石残留等情况。结论:腹腔镜胆囊切除术治疗临床各类良性胆囊疾病,有理想治疗效果,在发挥其微创术式优势的基础上,还具有较高的安全性。

Objective:To explore the clinical application effect of laparoscopic cholecystectomy.Methods:From January 2015 to December 2016,48 patients who underwent cholecystectomy were selected,and the clinical treatment effect was analyzed.Results:Among the 48 patients,47 patients successfully completed laparoscopic cholecystectomy,and only 1 patient changed to traditional laparotomy due to the change of disease.The clinical cure rate was 97.9%.And no obvious complications occurred in the patients underwent laparoscopic cholecystectomy,but the incision infection occurred in 1 patient who was converted to traditional laparotomy.All patients were followed up 6 months after operation,none of the patients had recurrence or residual stones.Conclusion:Laparoscopic cholecystectomy in the treatment of various types of benign cholecystopathy,which with ideal therapeutic effect,on the basis of exploiting the advantages of minimally invasive surgery,it also has higher safety.