腹腔镜胆囊切除术治疗急性胆囊炎的体会

目的探讨腹腔镜胆囊切除术治疗急性胆囊炎的经验。方法介绍并总结了该科在1997年6月～2006年8月收治的171例急性胆囊炎患者。结果该组171例急性胆囊炎患者10例中转开腹,1例为Mirizzi综合征,9例为胆囊三角结构严重粘连,其余病例行腹腔镜胆囊切除术,1例并发术后出血,二次腹腔镜手术止血,1例术后胆汁漏,保守治疗痊愈。结论术前注意病例选择,术中注意仔细操作,及时正确判断术中情况,腹腔镜胆囊切除术治疗急性胆囊炎是安全可行的。

Experience of laparoscopic cholecystectomy for acute cholecystitis

Objective To discuss the experience of laparoscopic cholecystectomy(LC)for acute cholecystitis.Methods 171 cases of acute cholecystitis treated by LC in our department from Jun 1997 to Aug 2006 were introduced and analyzed.Results LCs were accomplished in 161 cases,while conversions to open surgery were required in 10 cases(1 case of Mirizzi's syndrome,9 cases of serious adhesions in the Calot triangle).Re-exploration by laparoscopy was performed in 1 case because of bleeding.Guard-treat was performed in another case with biliary leakage.Conclusions The patients were properly selected before operation,and carefully operation and the complexion were determined accurately and in good time during utilizing LC for acute cholecystitis.