腹腔镜下急性胆囊炎手术123例

目的总结急性胆囊炎患者行腹腔镜手术治疗的经验。方法回顾性分析2005年5月至2010年8月收治的123例急性胆囊炎行腹腔镜胆囊切除术患者的临床资料。结果110例完成腹腔镜胆囊切除术，13例中转开腹胆囊切除术（其中Mirizzi综合征3例，胆囊三角区严重粘连10例）。术后2例发生胆汁漏，经保守治疗痊愈。结论在术前高度重视，术中熟练耐心细致的操作以及对术中异常情况的正确处理的前提下，腹腔镜胆囊切除术治疗急性胆囊炎是安全可行的。

Laparoscopic cholecystectomy in the treatment of acute cholecystitis in 123 cases

Objective To summarize the experience of laparoseopic cholecysteetomy（LC） in the treatment of acute eholecystitis. Methods Clinical datas of 123 cases of acute eholeeystitis treated by LC from May 2005 to August 2010 were retrospectively analyzed. Results The 110 cases accomplished LC, and LC was converted to open surgery in 13 cases （3 cases of Mirizzi syndrome, 10 cases of serious adhensions in ealot triangle）. Biliary leakage occurred after operation in 2 cases, and cured by conserva- tive treatment. Conclusions Preoperative to great attention, intraoperative skilled patience careful to operation and abnormal condition to treat correctly, acute eholeeystitis is safe and feasible treated by LC.