腹腔镜胆囊大部切除术20例报告

目的：探讨腹腔镜胆囊大部切除术在慢性胆囊炎中的临床应用。方法：回顾性分析2004年4月至2007年8月我科施行20例胆囊大部切除术患者的临床资料。结果：18例在腹腔镜下完成手术，2例中转开腹。所有病例均无术后出血、黄疸及肝外胆管损伤等严重并发症发生，平均手术时间70min，术后平均住院时间5d，随访2～12个月，未发现远期并发症。结论：在严格掌握适应证、妥善处理残余胆囊并留置引流管的情况下，腹腔镜胆囊大部切除术是一种安全可行、创伤小、并发症少、术后恢复快的手术，有一定的临床应用价值。

The application of laparoscopic partial cholecystectomy: a report of 20 cases

Objective:To explore the clinical application of laparoscopic partial cholecystectomy in patients with chronic cholecystitis.Methods:From Apr.2004 to Aug.2007,20 patients with chronic cholecystitis accepted laparoscopic partial cholecystectomy in our hospital.The data were analyzed retrospectively.Results:Eighteen cases had laparoscopy successfully,2 cases were converted to open operation.The average operative time was 70min.The average hospitalization time was 5d.All patients were cured,and no complications occurred.Conclusions:Laparoscopic partial cholecystectomy has the advantages of safety,less invasion,less complication and faster recovery on the condition of strict indication control,proper dealing of remmant gallbladder and placement of drainage tube.