腹腔镜治疗急性胆囊炎389例临床分析

目的：探讨急性胆囊炎行腹腔镜手术的可行性。方法：回顾分析2002年1月—2008年12月389例发作时间超过3d并且胆囊囊壁厚〉5mm的急性胆囊炎行腹腔镜下胆囊切除术的临床资料。结果：389例中377例（96.92%）腹腔镜下完成手术。4例因Calot三角呈冰冻状无法分离,8例因渗血严重中转开腹,中转率为3.08%。1例术后并发肝脓肿,后经B超引导穿刺引流后治愈。无死亡病例。结论：腹腔镜下胆囊切除术是治疗急性胆囊炎的一种安全方法。

Clinical Analysis of Laparoscopic Cholecystectomy for Treatment of Acute Cholecystitis (a Report of 389 Cases)

Objective：To investigate the role of laparoscopic cholecystectomy in acute cholecystitis. Methods：Retrospective analysis of the clinical data of the 389 patients with acute cholecystitis with episode of more than three days, and thickness of cholecyst wall more than 5mm ungoing Iaparoscopic cholecystectomy in our hospital between January 2002 and December 2008 was performed. Results：Among 389 patients, 377 patients were performed successfully by laparoscope （LC）, 12 patients （3. 08% ） were converted to open surgery （4 cases for frozen Calot triangle and 8 cases for haemorrhage）. One case was complicated with hepatophyma and cured by intervention puncture with type-B uhrasonic. Conclusion： LC is safe treatment method for acute choleeystitis.