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腹腔镜胆囊切除术治疗急性胆囊炎的临床体会(附76例报告)
引用本文:苏昀,于新平,李文科,于效超.腹腔镜胆囊切除术治疗急性胆囊炎的临床体会(附76例报告)[J].腹腔镜外科杂志,2012,17(10):778-780.
作者姓名:苏昀  于新平  李文科  于效超
作者单位:汤阴县人民医院,河南汤阴,456150
摘    要:目的:探查急性胆囊炎行腹腔镜胆囊切除术(laparsocopic cholecystectomy,LC)的可行性及安全性。方法:回顾分析为76例急性胆囊炎患者行LC的临床资料。结果:68例成功完成手术,8例(10.4%)中转开腹,无并发症发生。手术时间35~120min,平均80min;住院5~15d,平均7.6d;术后效果良好。结论:完善的术前检查、娴熟的腹腔镜技术、耐心细致并严格把握中转开腹指征,为急性胆囊炎患者行LC是安全、可靠的。

关 键 词:胆囊炎  胆囊切除术  腹腔镜  临床分析

Clincal analysis of therapeutic effect of laparoscopic cholecystectomy for acute cholecystitis : with a report of 76 cases
Institution:SU Yun,YU Xin-ping,LI Wen-ke,et al.Department of General Surgery,the People’s Hospital of Tangyin County,Tangyin 456150,China
Abstract:Objective:To discuss the feasibility and safety of laparoscopic cholecystectomy(LC)in treatmeat of acute cholecystitis.Methods:The clinical data of 76 cases with acute cholecystitis underwent LC were retrospectively analyzed.Results:Operations for 76 cases were successfully accomplished and conversion to open surgery was required in 8 cases(10.4%).There wasn’t any severe complication.The operation time was 35-120 min(average 80 min).The hospital stay was 5-15 d(average 7.6 d).The therapeutic effect was saticfactory.Conclusions:In condition of thorough preoperative examination,skilled laparoscopic technique,mastering the indication of conversion to laparotomy,LC is safe and feasible for acute cholecytitis.
Keywords:Cholecystitis  Cholecystectomy  laparoscopic  Clinical analysis
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