急性胆囊炎腹腔镜切除54例临床分析

目的总结急性胆囊炎(AC)行腹腔镜胆囊切除术(LC)的经验。方法对天津大港油田总医院54例AC患者行LC治疗,观察并分析治疗结果。结果中转开腹5例,中转率为9.26%。无死亡病例,无肝外胆管损伤、腹腔脓肿、胃肠道损伤及大出血等严重并发症,术后随访1～24个月,均恢复良好。结论只要选择合适的手术时机,熟练掌握LC的基本操作,掌握好中转开腹手术时机,LC是安全、有效、可行的。

Clinical Analysis to 54 Cases of Acute Laparoscopic Cholecystectomy

Objective To summarize the experience of laparoscopie cholecystectomy （LC）. Methods Fifty-four cases of AC in the General Hospital of Tianjin Dagang Oilfield accepted LC treatment, the therapeutic result was observed and analyzed. Results There were 5 cases of transit laparotomy, and the transfer rate was 9.26%. There was no death, no serious complications such as extrahepatie bile duct injury, intra-abdominal abscess, gastrointestinal injury and bleeding. After follow-up for 1- 24 months, all of the patients recovered well. Conclusion If the appropriate time of operation was chosen, the basic operation skills of LC were mastered and the time of transit laparotomy was mastered, LC is safe, effective and feasible.