腹腔镜胆囊切除术治疗萎缩性胆囊炎40例体会

目的探讨腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）治疗萎缩性胆囊炎的技巧。方法回顾分析我院2006-2008年腹腔镜胆囊切除术治疗萎缩性胆囊炎40例。结果37例患者成功完成腹腔镜胆囊切除术，3例中转开腹，其中2例是因为胆囊三角解剖不清，1例术中肝总管损伤。2例术后出现胆漏，经腹腔引流治愈。结论随着手术者经验的积累和技术的提高，腹腔镜胆囊切除术治疗萎缩性胆囊炎是切实可行的。

Laparoscopic cholecystectomy in treatment of 40 cases of atrophic cholecystitis

Objective To explore the skills of laparoscopic cholecystectomy（ LC）in the treatment of atrophic eholeeystitis. Methods The clinical data of 40 patients with atrophic cholecystitis who underwent LC from 2006 to 2008 were retrospectively analyzed. Results LC succeeded in 37 cases of patients. 3 cases were converted to open surgery, including two of them with the unclear anatomy of calot＇s triangle, while one case with injured hiliary tract. After the surgery, two patients got biliary leakage, but they were cured by intraperitoneal drainage. Conclusion With the experiences of surgery accumulation and improvements in technology, laparoscopic cholecystectomy is feasible to treat atrophic cholecystitis.