腹腔镜胆囊切除术治疗急性结石性胆囊炎的手术方式讨论

目的急性结石性胆囊炎行腹腔镜胆囊切除术（laparoscopie cholecystectomy，LC）的手术经验总结。方法对2001年10月～2010年1月期间158例急性结石性胆囊炎行腹腔镜胆囊切除术的临床资料进行总结分析。结果147成功完成腹腔镜胆囊切除术，11例中转开腹，元死亡病例，无术后大出血、胆漏。结论急性结石件胆囊炎行腹腔镜胆囊切除术是可行的，关键在于提高腹腔镜操作技术，掌握手术原则。

The therapeutic effect analysis of laparoscopic cholecystectomy for acute calculous cholecystitis

Objective To summarize the clinical experience of laparoscopJc cholecystectomy （ LC ） for acute calculous cholecystitis. Methods 158 patients with acute calculous cholecystitis underwent LC using 4 - port technique from October 2001 to January 2010 in our hospital. Results The LC was successfully completed in 147 cases,11 patients were convened to open surgery because of massive adhesion at the Calot＇s triangle, or Mirizzi ayndrome. No hemorrhea and bile duct leakage occurred after operation. Conclusions LC is a safe and feasible treatment for acute calculous cholecystitis. Successful LC should be based on the skilled techniques and the knowledge of key points in the operation.