腹腔镜胆囊切除术治疗急性胆囊炎152例临床分析

目的总结急性胆囊炎行腹腔镜胆囊切除术（LC）的经验体会。方法2003年1月至2006年12月152例急性胆囊炎患者行腹腔镜胆囊切除术。CO2气体建立气腹，常规四孔法。结果140例患者成功完成腹腔镜胆囊切除术，12例患者因胆囊粘连致密易出血中转开腹；152例患者温氏孔放置引流管；148例随访5～48个月，平均30个月，无并发症发生，无死亡病例。结论严格掌握急性胆囊炎腹腔镜手术治疗的指征，规范腹腔镜操作技术，适时中转开腹，引流管的放置，是保证手术成功的关键。

Laparoscopic cholecystectomy for acute cholecysitis:A clinical analysis of 152 cases

Objective To summarize the clinical experience of laparoscopic cholecystectomy （LC） for acute cholecystitis, Methods LC was performed in 152 cases of acute cholecystitis from January 2003 to December 2006. The operation was completed under CO2 Pneumoperitoneum by using 4 - Port technique. Results The LC was successfully accomplished in 140 cases while a conversion to open surgery, was required because of massive adhesion in 12 cases, A drainage tube at the foramen of Winslow was placed in 152 cases, The 148 cases were followed up for 5 -48 months （mean,30 months）. NO complications or fatal cases were encountered, Conclusion Strict adhesion to surgical indications of LC, standard performance of the procedure, timely conversion to open surgery , and placement of drainage tube are key factors to ensure a successful operation.