胆囊颈部结石嵌顿的腹腔镜处理

目的总结胆囊颈部结石嵌顿行LC的经验,提高LC的成功率。方法回顾性分析76例LC的临床资料。结果72例完成LC术,4例中转手术。1例术后出现胆漏,经腹腔引流管引流治愈,无术后出血、胆道损伤等严重并发症,所有病例均痊愈出院。结论仔细、熟练的LC操作技术是胆囊颈部结石嵌顿性胆囊炎LC成功的关键,胆囊颈部结石嵌顿性胆囊炎行LC是可行的。

Disposal of laparoscopic cholecystectomy for calculus incarcerated cholecystitis in neck of gallbladder

Objective] To summarize the experience of treatment for calculus incarcerated cholecystitis in neck of gallbladder and improve the rate of success for LC.Methods] The clinic data of 76 cases of calculus incarcerated in neck of gallbladder by LC were analyzed retrospectively.Results] 72 cases were treated with LC successfully and 4 cases were converted to open procedure.Biliary leakage happened in 1 case and was cured with indwelling abdominal drainage.No patients were complicated with postoperative hemorrhage,bile injuries.All patients were cured.Conclusions] LC is a safe and feasible means for calculus incarcerated cholecystitis in neck of gallbladder,but the surgeon who performed such kinds of LC should be well trained and expert in LC.