腹腔镜胆囊切除术治疗急性胆囊炎

目的:探讨腹腔镜胆囊切除术治疗急性胆囊炎及慢性胆囊炎急性发作的方法及疗效。方法:回顾分析2003年3月- 2006年5月行腹腔镜胆囊切除治疗急性胆囊炎及慢性胆囊炎急性发作患者128例的临床资料。结果:腹腔镜胆囊切除术128例中124例成功,平均手术时间85 min,1例术后出血;4例中转开腹手术,中转开腹率2.34%;并发症发生率0.81%。结论:急性胆囊炎或慢性胆囊炎急性发作病例行腹腔镜胆囊切除术可行、有效,必要时可适当放宽手术指证。解剖胆囊三角显露胆囊管是手术的关键。当腹腔镜手术遇困难时,可适时中转开腹手术。

The Analysis of Laparoscopic Choblecystectomy for 128 Patients with Acute Cholecystitis

Objective:To investigate the methodology and effect of laparcscopic cholecystectomy(LC)for patients with acute cholecystitis and chronic cholecystitis.Methods:Between March 2003 and May 2006,128 patients with acute cholecystitis and chronic cholecystitis have been performed by the procedure of LC.Results:One hundred and twenty-four patients underwent laparoscopic surgery successfully and the other four were converted to open surgery.The average operative time was 85 min- ure.One case was with abdomen bleeding after operation.The open surgery rate was 2.34%,operative complications occurred in 0.81%.Conclusion:LC is a safe and effective procedure for acute cholecystitis and chronic cholecystitis.The operative indica- tion can be widen.Dissection of calot triangle area to exposed cystic duct is the key step,convert to open surgery is necessary in difficult situation.