急性胆囊炎腹腔镜胆囊切除术53例临床分析

目的探讨急性胆囊炎行腹腔镜胆囊切除术（LC）的手术技巧。方法急性胆囊炎行LC 53例,中转开腹3例。回顾53例LC操作经验并进行总结分析。结果 50例LC手术成功,手术时间30～180 min,平均79 min,术中出血5～200 ml,平均住院6.5d（3～16 d）。结论急性胆囊炎首选LC。腹腔镜下顺行切除胆囊更加安全、快捷。

Surgical experience of laparoscopic cholecystectomy in 53 cases of acute cholecystitis

Objective To summarize the operative parameters an experience for laparoscopic cholecystectomy（LC） in acute cholecystitis.Methods Fifty-three cases of laparoscopic antegrade resection of the gallbladder,which was performed to treat acute cholecystitis,were retrospectively reviewed.Results Fifty of the LC operations were completed successfully,and three patients necessitated transition to the open cholecystectomy procedure.For the 50 LC operations,the surgical time ranged from 30-180 min（average： 79 min） and the blood loss ranged from 5-200 ml.There were no cases of postoperative bleeding,subphrenic effusion,or abdominal infection following the LC operation.The length of hospital stay following the LC operation ranged from 3-16 days（average： 6.5 days）.All 50 cases were cured by the LC.Conclusion LC is the preferred surgical strategy for patients with acute cholecystitis.The LC procedure is safe,fast,and efficacious.